Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,225.17 / $6,225.17 / $6,225.17	Facility		$6,225.17	$6,225.17	$6,225.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,095.55 / $6,225.17 / $8,852.12	Professional		$5,095.55	$6,225.17	$8,852.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,028.68 / $25,425.88 / $108,219.78	Facility		$15,028.68	$25,425.88	$108,219.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $11,611.57	Facility		$8,136.27	$8,136.27	$11,611.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $8,136.27 / $14,581.13	Professional		$5,939.48	$8,136.27	$14,581.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10,257.33 / $12,577.53 / $15,950.73	Professional		$10,257.33	$12,577.53	$15,950.73
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 $16,350.79 / $16,350.79 / $16,350.79	Professional		$16,350.79	$16,350.79	$16,350.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,697.80 / $6,274.79 / $11,765.54	Professional		$4,697.80	$6,274.79	$11,765.54