Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $890.23 / $1,513.77	Facility		$579.97	$890.23	$1,513.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.99 / $702.95	Professional		$579.97	$579.99	$702.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,147.17 / $2,636.06 / $10,123.14	Facility		$1,147.17	$2,636.06	$10,123.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Facility		$579.97	$579.97	$579.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $464.94 / $666.97 / $1,547.73	Professional		$464.94	$666.97	$1,547.73
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 $753.96 / $753.96 / $753.96	Professional		$753.96	$753.96	$753.96
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $616.30	Professional		$579.97	$579.97	$616.30