Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.72 / $635.72 / $635.72	Facility		$635.72	$635.72	$635.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.25 / $647.49 / $836.38	Professional		$515.25	$647.49	$836.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,991.34 / $3,401.36 / $10,642.19	Facility		$1,991.34	$3,401.36	$10,642.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.80 / $940.01 / $940.01	Professional		$736.80	$940.01	$940.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $1,353.92	Facility		$756.07	$756.07	$1,353.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $1,434.00	Professional		$551.92	$551.92	$1,434.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $922.00 / $1,236.85 / $1,568.34	Professional		$922.00	$1,236.85	$1,568.34
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 $1,607.92 / $1,607.92 / $1,607.92	Professional		$1,607.92	$1,607.92	$1,607.92
United Facility/Professional Professional Modifier Low / Median / High Price $431.73 / $617.05 / $1,059.28	Professional		$431.73	$617.05	$1,059.28