Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,162.28 / $10,000.00	Facility		$281.84	$3,162.28	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $831.76	Professional		$281.84	$281.84	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $758.58 / $5,248.07	Facility		$263.03	$758.58	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $676.08	Professional		$281.84	$436.52	$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 $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $478.63 / $630.96	Facility		$281.84	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $831.76	Professional		$281.84	$338.84	$831.76