Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $467.74 / $851.14	Facility		$281.84	$467.74	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $426.58	Professional		$190.55	$239.88	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $3,630.78	Facility		$338.84	$457.09	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $218.78	Professional		$194.98	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $602.56 / $1,288.25	Facility		$181.97	$602.56	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $331.13 / $478.63	Professional		$128.82	$331.13	$478.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $1,096.48	Professional		$288.40	$489.78	$1,096.48
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 $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $562.34	Facility		$281.84	$281.84	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $281.84	Professional		$117.49	$169.82	$281.84