Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,013.81 / $5,013.81 / $5,013.81	Facility		$5,013.81	$5,013.81	$5,013.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,189.35 / $5,399.49 / $7,788.21	Professional		$4,189.35	$5,399.49	$7,788.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,104.67 / $20,478.97 / $87,161.16	Facility		$12,104.67	$20,478.97	$87,161.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $10,062.58	Facility		$6,553.03	$6,553.03	$10,062.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,553.03 / $11,743.88	Professional		$4,783.71	$6,553.03	$11,743.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,610.54 / $10,920.69 / $13,897.44	Professional		$8,610.54	$10,920.69	$13,897.44
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 $13,169.07 / $13,169.07 / $13,169.07	Professional		$13,169.07	$13,169.07	$13,169.07
United Facility/Professional Professional Modifier Low / Median / High Price $3,769.60 / $5,053.77 / $8,675.64	Professional		$3,769.60	$5,053.77	$8,675.64