Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $238.61	Facility		$216.92	$216.92	$238.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $238.61	Professional		$216.91	$216.92	$238.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.20 / $905.66 / $3,588.03	Facility		$323.20	$905.66	$3,588.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.86 / $262.86 / $262.86	Professional		$262.86	$262.86	$262.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $71.63 / $323.50	Professional		$46.82	$71.63	$323.50
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 $54.94 / $55.65 / $60.87	Professional		$54.94	$55.65	$60.87
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $255.20 / $262.86	Professional		$219.05	$255.20	$262.86