Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $463.32 / $800.75	Facility		$306.80	$463.32	$800.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.80 / $308.68 / $371.83	Professional		$306.80	$308.68	$371.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.60 / $1,239.94 / $5,109.50	Facility		$539.60	$1,239.94	$5,109.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Facility		$308.68	$308.68	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $308.68 / $432.15	Professional		$219.71	$308.68	$432.15
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 $401.28 / $401.28 / $401.28	Professional		$401.28	$401.28	$401.28
United Facility/Professional Professional Modifier Low / Median / High Price $307.43 / $308.68 / $325.51	Professional		$307.43	$308.68	$325.51