Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,090.30 / $9,332.54	Facility		$831.76	$3,090.30	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $549.54	Professional		$363.08	$363.08	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,128.61 / $6,165.95	Facility		$4,570.88	$5,128.61	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $616.60	Professional		$251.19	$446.68	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $3,019.95	Professional		$309.03	$489.78	$3,019.95
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 $363.08 / $389.05 / $426.58	Professional		$363.08	$389.05	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,365.16 / $9,332.54	Facility		$1,862.09	$4,365.16	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44