Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,347.27 / $5,347.27 / $5,347.27	Facility		$5,347.27	$5,347.27	$5,347.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,391.42 / $5,347.27 / $8,586.04	Professional		$4,391.42	$5,347.27	$8,586.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,909.21 / $21,840.11 / $92,958.25	Facility		$12,909.21	$21,840.11	$92,958.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,210.87 / $8,210.87 / $10,218.44	Professional		$8,210.87	$8,210.87	$10,218.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $10,905.82	Facility		$7,261.93	$7,261.93	$10,905.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $12,650.25	Professional		$5,301.21	$5,301.21	$12,650.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,643.03 / $10,750.33 / $13,061.94	Professional		$8,643.03	$10,750.33	$13,061.94
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 $14,044.93 / $14,044.93 / $14,044.93	Professional		$14,044.93	$14,044.93	$14,044.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,844.58 / $5,389.89 / $9,544.04	Professional		$3,844.58	$5,389.89	$9,544.04