Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $562.34 / $977.24	Facility		$323.59	$562.34	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $537.03	Professional		$218.78	$275.42	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,148.15 / $4,073.80	Facility		$398.11	$1,148.15	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $223.87 / $251.19	Professional		$3.47	$223.87	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $676.08 / $1,479.11	Facility		$208.93	$676.08	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $389.05 / $549.54	Professional		$158.49	$389.05	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $1,288.25	Professional		$323.59	$549.54	$1,288.25
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 $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Facility		$323.59	$323.59	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $331.13	Professional		$134.90	$194.98	$331.13