Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $482.40 / $683.68	Facility		$194.32	$482.40	$683.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $294.69 / $306.48	Professional		$194.32	$294.69	$306.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.92 / $664.30 / $3,196.85	Facility		$286.92	$664.30	$3,196.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $294.69 / $294.69	Facility		$278.01	$294.69	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $294.69 / $412.57	Professional		$24.81	$294.69	$412.57
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 $383.10 / $383.10 / $383.10	Professional		$383.10	$383.10	$383.10
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $380.26	Professional		$294.69	$294.69	$380.26