Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $977.24	Facility		$275.42	$549.54	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $602.56	Professional		$120.23	$263.03	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,148.15 / $4,073.80	Facility		$398.11	$1,148.15	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $223.87 / $251.19	Professional		$3.47	$223.87	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $660.69 / $1,479.11	Facility		$208.93	$660.69	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $467.74	Professional		$89.13	$309.03	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $812.83	Professional		$309.03	$489.78	$812.83
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 $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $323.59 / $645.65	Facility		$138.04	$323.59	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $269.15	Professional		$95.50	$134.90	$269.15