Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $575.44 / $1,047.13	Facility		$302.00	$575.44	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $602.56	Professional		$229.09	$295.12	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,258.93 / $4,365.16	Facility		$436.52	$1,258.93	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $239.88 / $269.15	Professional		$3.47	$239.88	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $724.44 / $1,621.81	Facility		$229.09	$724.44	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $426.58 / $588.84	Professional		$177.83	$426.58	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $1,445.44	Professional		$346.74	$588.84	$1,445.44
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 $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $691.83	Facility		$346.74	$346.74	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $371.54	Professional		$147.91	$218.78	$371.54