Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.19 / $960.19 / $960.19	Facility		$960.19	$960.19	$960.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.35 / $1,034.05 / $1,630.77	Professional		$866.35	$1,034.05	$1,630.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,318.21 / $3,922.02 / $16,692.04	Facility		$2,318.21	$3,922.02	$16,692.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,474.39 / $1,474.39 / $1,474.39	Professional		$1,474.39	$1,474.39	$1,474.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $2,133.98	Facility		$1,254.96	$1,254.96	$2,133.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,254.96 / $2,248.88	Professional		$916.12	$1,254.96	$2,248.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.99 / $2,164.41 / $2,715.99	Professional		$1,648.99	$2,164.41	$2,715.99
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 $2,521.98 / $2,521.98 / $2,521.98	Professional		$2,521.98	$2,521.98	$2,521.98
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $806.53 / $967.84 / $1,661.45	Professional		$806.53	$967.84	$1,661.45