Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $302.00	Professional		$173.78	$251.19	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $1,905.46	Facility		$512.86	$933.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
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 $229.09 / $309.03 / $446.68	Professional		$229.09	$309.03	$446.68