Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,681.63 / $6,681.63 / $6,681.63	Facility		$6,681.63	$6,681.63	$6,681.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,292.50 / $6,681.63 / $9,325.67	Professional		$5,292.50	$6,681.63	$9,325.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,130.55 / $27,290.05 / $116,154.97	Facility		$16,130.55	$27,290.05	$116,154.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $14,001.82	Facility		$8,732.85	$8,732.85	$14,001.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $8,732.85 / $15,650.25	Professional		$6,374.98	$8,732.85	$15,650.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10,799.82 / $13,117.82 / $15,938.49	Professional		$10,799.82	$13,117.82	$15,938.49
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 $17,549.70 / $17,549.70 / $17,549.70	Professional		$17,549.70	$17,549.70	$17,549.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $4,612.20 / $6,734.89 / $11,833.53	Professional		$4,612.20	$6,734.89	$11,833.53