Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.20 / $921.20 / $921.20	Facility		$921.20	$921.20	$921.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.24 / $803.66 / $921.20	Professional		$479.24	$803.66	$921.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.28 / $7,378.81 / $14,168.05	Facility		$3,445.28	$7,378.81	$14,168.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $77.06 / $77.06	Professional		$61.65	$77.06	$77.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $293.45	Professional		$293.45	$293.45	$293.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $84.77 / $200.00	Professional		$69.36	$84.77	$200.00
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 $100.18 / $100.18 / $100.18	Professional		$100.18	$100.18	$100.18
United Facility/Professional Professional Modifier Low / Median / High Price $479.86 / $1,155.25 / $2,154.75	Professional		$479.86	$1,155.25	$2,154.75