Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,884.52 / $1,884.52 / $1,884.52	Facility		$1,884.52	$1,884.52	$1,884.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,884.52 / $3,123.94	Professional		$1,659.59	$1,884.52	$3,123.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,548.99 / $7,696.09 / $32,760.93	Facility		$4,548.99	$7,696.09	$32,760.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,893.74 / $2,893.74 / $2,893.74	Professional		$2,893.74	$2,893.74	$2,893.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.07 / $2,463.07 / $4,167.68	Facility		$2,463.07	$2,463.07	$4,167.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $4,414.13	Professional		$1,798.04	$2,463.07	$4,414.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,320.78 / $4,074.49 / $5,164.00	Professional		$3,320.78	$4,074.49	$5,164.00
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 $4,949.82 / $4,949.82 / $4,949.82	Professional		$4,949.82	$4,949.82	$4,949.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,449.63 / $1,899.55 / $3,363.58	Professional		$1,449.63	$1,899.55	$3,363.58