Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,594.10 / $3,594.10 / $3,594.10	Facility		$3,594.10	$3,594.10	$3,594.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,142.82 / $3,870.57 / $6,160.64	Professional		$3,142.82	$3,870.57	$6,160.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,676.62 / $14,679.33 / $62,480.74	Facility		$8,676.62	$14,679.33	$62,480.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $7,741.39	Facility		$4,697.47	$4,697.47	$7,741.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $8,502.56	Professional		$3,429.16	$3,429.16	$8,502.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,172.39 / $7,923.43 / $10,144.34	Professional		$6,172.39	$7,923.43	$10,144.34
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 $9,440.12 / $9,440.12 / $9,440.12	Professional		$9,440.12	$9,440.12	$9,440.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,925.83 / $3,622.75 / $6,219.06	Professional		$2,925.83	$3,622.75	$6,219.06