Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $1,096.48	Facility		$416.87	$724.44	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $588.84	Professional		$398.11	$416.87	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $331.13 / $5,370.32	Facility		$109.65	$331.13	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $436.52 / $645.65	Professional		$89.13	$436.52	$645.65
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 $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $741.31	Facility		$416.87	$436.52	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $467.74	Professional		$416.87	$416.87	$467.74