Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $1,122.02	Facility		$371.54	$645.65	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $602.56	Professional		$257.04	$316.23	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,318.26 / $4,677.35	Facility		$457.09	$1,318.26	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $794.33 / $1,737.80	Facility		$245.47	$794.33	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $630.96	Professional		$169.82	$436.52	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $794.33	Professional		$346.74	$524.81	$794.33
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 $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $758.58	Facility		$371.54	$371.54	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $371.54	Professional		$158.49	$204.17	$371.54