Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.75 / $2,442.75 / $2,442.75	Facility		$2,442.75	$2,442.75	$2,442.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,151.19 / $2,442.75 / $4,049.29	Professional		$2,151.19	$2,442.75	$4,049.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,897.31 / $9,977.20 / $42,465.34	Facility		$5,897.31	$9,977.20	$42,465.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,750.91 / $3,750.91 / $3,750.91	Professional		$3,750.91	$3,750.91	$3,750.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $5,402.23	Facility		$2,801.20	$2,801.20	$5,402.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $6,065.06	Professional		$2,044.88	$2,044.88	$6,065.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,195.10 / $5,675.72 / $6,909.57	Professional		$4,195.10	$5,675.72	$6,909.57
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 $6,416.03 / $6,416.03 / $6,416.03	Professional		$6,416.03	$6,416.03	$6,416.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,879.04 / $2,462.21 / $4,226.81	Professional		$1,879.04	$2,462.21	$4,226.81