Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $798.87 / $1,390.03	Facility		$529.89	$798.87	$1,390.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $532.58 / $727.69	Professional		$529.89	$532.58	$727.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,482.40 / $2,265.10 / $11,224.73	Facility		$1,482.40	$2,265.10	$11,224.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Facility		$529.89	$529.89	$529.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $423.91 / $582.88 / $1,012.17	Professional		$423.91	$582.88	$1,012.17
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 $688.86 / $688.86 / $688.86	Professional		$688.86	$688.86	$688.86
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $552.41	Professional		$529.89	$529.89	$552.41