Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $5,248.07	Facility		$1,995.26	$3,467.37	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,818.38	Professional		$1,995.26	$1,995.26	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,762.47 / $37,153.52	Facility		$5,128.61	$7,762.47	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,995.26 / $2,818.38	Professional		$346.74	$1,995.26	$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 $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,162.28	Facility		$1,995.26	$1,995.26	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,187.76	Professional		$1,995.26	$1,995.26	$2,187.76