Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $478.63 / $870.96	Facility		$288.40	$478.63	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $446.68	Professional		$194.98	$245.47	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $467.74 / $3,801.89	Facility		$346.74	$467.74	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $199.53 / $223.87	Professional		$3.47	$199.53	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $616.60 / $1,348.96	Facility		$190.55	$616.60	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $338.84 / $489.78	Professional		$131.83	$338.84	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $537.03	Professional		$263.03	$380.19	$537.03
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 $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $588.84	Facility		$288.40	$288.40	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $295.12	Professional		$123.03	$173.78	$295.12