Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $7,413.10	Facility		$3,630.78	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $7,413.10	Professional		$3,467.37	$4,073.80	$7,413.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $14,125.38 / $50,118.72	Facility		$8,709.64	$14,125.38	$50,118.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $7,943.28	Facility		$4,677.35	$4,677.35	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $7,762.47	Professional		$3,467.37	$3,467.37	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,943.28 / $10,232.93	Professional		$6,165.95	$7,943.28	$10,232.93
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 $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $11,481.54	Facility		$4,677.35	$5,754.40	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $5,495.41	Professional		$2,951.21	$3,630.78	$5,495.41