Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.18 / $317.18 / $317.18	Facility		$317.18	$317.18	$317.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $272.08 / $317.18	Professional		$205.96	$272.08	$317.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.79 / $676.37 / $3,723.69	Facility		$384.79	$676.37	$3,723.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $333.24 / $333.24	Professional		$266.58	$333.24	$333.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $368.23 / $558.38	Professional		$224.10	$368.23	$558.38
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 $433.21 / $433.21 / $433.21	Professional		$433.21	$433.21	$433.21
United Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $260.88 / $466.88	Professional		$166.25	$260.88	$466.88