Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $10,964.78	Facility		$199.53	$346.74	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $602.56	Professional		$199.53	$204.17	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $2,511.89	Facility		$173.78	$478.63	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $616.60	Professional		$151.36	$223.87	$616.60
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 $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $338.84	Facility		$199.53	$204.17	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $251.19	Professional		$199.53	$208.93	$251.19