Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $726.21 / $1,256.90	Facility		$481.57	$726.21	$1,256.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.57 / $484.14 / $583.66	Professional		$481.57	$484.14	$583.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,150.25 / $1,793.45 / $8,887.44	Facility		$1,150.25	$1,793.45	$8,887.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Facility		$484.14	$484.14	$484.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $484.14 / $791.25	Professional		$345.40	$484.14	$791.25
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 $629.38 / $629.38 / $629.38	Professional		$629.38	$629.38	$629.38
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $513.66	Professional		$484.14	$484.14	$513.66