Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $891.25	Facility		$302.00	$524.81	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $245.47 / $363.08	Professional		$66.07	$245.47	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,047.13 / $3,801.89	Facility		$363.08	$1,047.13	$3,801.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $208.93 / $229.09	Professional		$3.47	$208.93	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $616.60 / $1,380.38	Facility		$158.49	$616.60	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $323.59 / $501.19	Professional		$79.43	$323.59	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $676.08	Professional		$302.00	$426.58	$676.08
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 $47.86 / $125.89 / $204.17	Professional		$47.86	$125.89	$204.17