Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $411.52 / $911.47	Facility		$272.08	$411.52	$911.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $272.08 / $355.67	Professional		$272.08	$272.08	$355.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.20 / $1,125.85 / $3,140.56	Facility		$435.20	$1,125.85	$3,140.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.50 / $202.64 / $368.10	Professional		$132.50	$202.64	$368.10
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 $202.64 / $202.64 / $202.64	Professional		$202.64	$202.64	$202.64
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $330.06	Professional		$283.42	$283.42	$330.06