Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $575.44 / $1,000.00	Facility		$338.84	$575.44	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $645.65	Professional		$251.19	$288.40	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,380.38 / $4,168.69	Facility		$426.58	$1,380.38	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $229.09 / $257.04	Professional		$3.47	$229.09	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $776.25 / $1,548.82	Facility		$218.78	$776.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $407.38 / $645.65	Professional		$169.82	$407.38	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $1,288.25	Professional		$338.84	$588.84	$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 $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $676.08	Facility		$338.84	$338.84	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $398.11	Professional		$141.25	$229.09	$398.11