Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $245.47	Professional		$109.65	$190.55	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $1,905.46	Facility		$295.12	$588.84	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $3,467.37	Facility		$1,096.48	$1,096.48	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $389.05	Professional		$194.98	$275.42	$389.05