Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.75 / $199.87 / $215.62	Facility		$98.75	$199.87	$215.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $98.75 / $199.87	Professional		$90.23	$98.75	$199.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.40 / $1,198.72 / $2,400.42	Facility		$560.40	$1,198.72	$2,400.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $149.83 / $198.42	Professional		$117.61	$149.83	$198.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $155.81 / $209.88	Professional		$108.09	$155.81	$209.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $170.42 / $869.27	Professional		$115.50	$170.42	$869.27
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 $118.82 / $126.59 / $136.50	Professional		$118.82	$126.59	$136.50
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $140.63 / $237.13	Professional		$102.42	$140.63	$237.13