Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,893.00 / $3,893.00 / $3,893.00	Facility		$3,893.00	$3,893.00	$3,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,428.35 / $3,893.00 / $6,453.36	Professional		$3,428.35	$3,893.00	$6,453.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,398.49 / $19,869.61 / $69,406.25	Facility		$9,398.49	$19,869.61	$69,406.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $8,609.61	Facility		$4,391.66	$4,391.66	$8,609.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $4,391.66 / $9,118.50	Professional		$3,732.91	$4,391.66	$9,118.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,927.63 / $8,652.09 / $10,974.46	Professional		$6,927.63	$8,652.09	$10,974.46
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 $10,225.20 / $10,225.20 / $10,225.20	Professional		$10,225.20	$10,225.20	$10,225.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,921.93 / $3,924.03 / $6,736.25	Professional		$2,921.93	$3,924.03	$6,736.25