Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $1,842.00 / $5,549.00	Facility		$47.86	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $47.86 / $257.60	Professional		$14.12	$47.86	$257.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,769.02 / $3,784.00 / $7,577.46	Facility		$1,769.02	$3,784.00	$7,577.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.00 / $473.00 / $496.65	Professional		$473.00	$473.00	$496.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $7.60	Professional		$7.60	$7.60	$7.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $113.44 / $676.50	Professional		$84.07	$113.44	$676.50
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 $116.12 / $117.81 / $128.58	Professional		$116.12	$117.81	$128.58
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00