Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $1,114.03 / $1,964.52	Facility		$528.58	$1,114.03	$1,964.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $642.96 / $961.25	Professional		$528.58	$642.96	$961.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.10 / $4,946.46 / $13,990.18	Facility		$1,995.10	$4,946.46	$13,990.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Facility		$636.59	$636.59	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $1,530.00 / $2,266.41	Professional		$541.10	$1,530.00	$2,266.41
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 $827.57 / $827.57 / $827.57	Professional		$827.57	$827.57	$827.57
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $851.08	Professional		$636.59	$636.59	$851.08