Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.51 / $764.71 / $1,319.38	Facility		$505.51	$764.71	$1,319.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.51 / $508.76 / $612.66	Professional		$505.51	$508.76	$612.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $1,195.79 / $5,366.37	Facility		$541.16	$1,195.79	$5,366.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Facility		$508.76	$508.76	$508.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $319.91 / $504.47 / $712.26	Professional		$319.91	$504.47	$712.26
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 $661.39 / $661.39 / $661.39	Professional		$661.39	$661.39	$661.39
United Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $537.19	Professional		$508.76	$508.76	$537.19