Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $912.01	Facility		$302.00	$501.19	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $457.09	Professional		$204.17	$257.04	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $3,890.45	Facility		$363.08	$489.78	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $208.93 / $234.42	Professional		$3.47	$208.93	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $645.65 / $1,380.38	Facility		$194.98	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $346.74 / $501.19	Professional		$138.04	$346.74	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $1,122.02	Professional		$309.03	$512.86	$1,122.02
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 $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $602.56	Facility		$302.00	$302.00	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $302.00	Professional		$125.89	$181.97	$302.00