Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $389.05 / $831.76	Facility		$223.87	$389.05	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $331.13	Professional		$223.87	$223.87	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $4,570.88	Facility		$616.60	$912.01	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $501.19	Professional		$190.55	$302.00	$501.19
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 $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $363.08	Facility		$223.87	$223.87	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $239.88	Professional		$223.87	$223.87	$239.88