Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,398.83	Facility		$1,148.15	$1,148.15	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,290.87	Professional		$1,000.00	$1,202.26	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,248.07 / $20,417.38	Facility		$2,754.23	$5,248.07	$20,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,630.27	Facility		$1,819.70	$1,819.70	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,570.40	Professional		$1,513.56	$1,513.56	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,818.38	Professional		$1,862.09	$2,290.87	$2,818.38
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 $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $2,398.83	Facility		$1,380.38	$1,548.82	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,737.80	Professional		$891.25	$1,174.90	$1,737.80