Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $309.93 / $539.28	Facility		$206.59	$309.93	$539.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.62 / $250.42	Professional		$206.59	$206.62	$250.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.16 / $926.42 / $3,661.22	Facility		$403.16	$926.42	$3,661.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Facility		$206.59	$206.59	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $238.41 / $452.06	Professional		$175.60	$238.41	$452.06
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 $268.57 / $268.57 / $268.57	Professional		$268.57	$268.57	$268.57
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $214.57	Professional		$206.59	$206.59	$214.57