Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.39 / $1,314.39 / $1,314.39	Facility		$1,314.39	$1,314.39	$1,314.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.30 / $1,314.39 / $2,150.21	Professional		$1,142.30	$1,314.39	$2,150.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,173.64 / $6,708.53 / $23,433.57	Facility		$3,173.64	$6,708.53	$23,433.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,763.51 / $2,018.28 / $2,018.28	Professional		$1,763.51	$2,018.28	$2,018.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.94 / $1,482.94 / $2,868.65	Facility		$1,482.94	$1,482.94	$2,868.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,482.94 / $3,078.75	Professional		$1,260.50	$1,482.94	$3,078.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,390.07 / $3,212.17 / $3,932.45	Professional		$2,390.07	$3,212.17	$3,932.45
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 $3,452.32 / $3,452.32 / $3,452.32	Professional		$3,452.32	$3,452.32	$3,452.32
United Facility/Professional Professional Modifier Low / Median / High Price $991.61 / $1,324.86 / $2,274.34	Professional		$991.61	$1,324.86	$2,274.34