Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.01 / $2,189.01 / $2,189.01	Facility		$2,189.01	$2,189.01	$2,189.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,927.76 / $2,189.01 / $3,628.73	Professional		$1,927.76	$2,189.01	$3,628.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,318.40 / $8,941.56 / $48,452.72	Facility		$5,318.40	$8,941.56	$48,452.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,361.29 / $4,422.75 / $4,422.75	Professional		$3,361.29	$4,422.75	$4,422.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $4,841.16	Facility		$3,060.59	$3,060.59	$4,841.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $5,178.64	Professional		$2,234.23	$2,234.23	$5,178.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,538.20 / $4,280.39 / $5,146.16	Professional		$3,538.20	$4,280.39	$5,146.16
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 $5,749.58 / $5,749.58 / $5,749.58	Professional		$5,749.58	$5,749.58	$5,749.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,683.86 / $2,206.46 / $3,787.76	Professional		$1,683.86	$2,206.46	$3,787.76