Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,818.38	Facility		$1,380.38	$1,380.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,754.23	Professional		$1,174.90	$1,412.54	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,370.32 / $19,054.61	Facility		$3,311.31	$5,370.32	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,398.83	Professional		$2,089.30	$2,089.30	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,090.30	Facility		$1,778.28	$1,778.28	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,019.95	Professional		$1,318.26	$1,318.26	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $3,981.07	Professional		$2,344.23	$3,311.31	$3,981.07
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,981.07	Facility		$1,659.59	$2,187.76	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,137.96	Professional		$1,047.13	$1,380.38	$2,137.96