Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $316.10 / $491.16	Facility		$243.15	$316.10	$491.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.15 / $243.61 / $267.97	Professional		$243.15	$243.61	$267.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.13 / $1,098.68 / $4,072.69	Facility		$478.13	$1,098.68	$4,072.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Facility		$243.61	$243.61	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.23 / $243.61 / $243.61	Professional		$240.23	$243.61	$243.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.07 / $267.97 / $355.03	Professional		$207.07	$267.97	$355.03
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 $316.69 / $316.69 / $316.69	Professional		$316.69	$316.69	$316.69
United Facility/Professional Professional Modifier Low / Median / High Price $235.73 / $243.61 / $258.47	Professional		$235.73	$243.61	$258.47