Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.99 / $1,623.99 / $1,623.99	Facility		$1,623.99	$1,623.99	$1,623.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.61 / $1,623.99 / $2,492.73	Professional		$1,196.61	$1,623.99	$2,492.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,920.94 / $6,633.54 / $28,231.76	Facility		$3,920.94	$6,633.54	$28,231.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,493.67 / $2,493.67 / $2,493.67	Professional		$2,493.67	$2,493.67	$2,493.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $3,513.21	Facility		$2,283.76	$2,283.76	$3,513.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,261.52 / $3,804.00	Professional		$1,667.14	$2,261.52	$3,804.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,731.70 / $3,193.83 / $3,836.67	Professional		$2,731.70	$3,193.83	$3,836.67
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 $4,265.50 / $4,265.50 / $4,265.50	Professional		$4,265.50	$4,265.50	$4,265.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,636.93 / $2,858.19	Professional		$1,114.00	$1,636.93	$2,858.19