Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $566.28 / $1,324.57	Facility		$376.48	$566.28	$1,324.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $377.52 / $458.06	Professional		$376.48	$377.52	$458.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.60 / $931.69 / $4,250.24	Facility		$337.60	$931.69	$4,250.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Facility		$377.52	$377.52	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.11 / $407.16 / $643.75	Professional		$270.11	$407.16	$643.75
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 $490.78 / $490.78 / $490.78	Professional		$490.78	$490.78	$490.78
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $399.25 / $430.77	Professional		$377.52	$399.25	$430.77