Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $512.86 / $1,000.00	Facility		$123.03	$512.86	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $891.25	Professional		$416.87	$512.86	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $6,760.83	Facility		$1,202.26	$1,905.46	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $758.58	Professional		$630.96	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,096.48	Facility		$549.54	$549.54	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,071.52	Professional		$398.11	$398.11	$1,071.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,288.25	Professional		$831.76	$1,047.13	$1,288.25
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 $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $794.33 / $1,445.44	Facility		$371.54	$794.33	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $758.58	Professional		$363.08	$489.78	$758.58