Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.19 / $666.19 / $666.19	Facility		$666.19	$666.19	$666.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.64 / $666.19 / $1,036.91	Professional		$520.64	$666.19	$1,036.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,710.90 / $6,241.04 / $13,612.49	Facility		$1,710.90	$6,241.04	$13,612.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.40 / $985.07 / $985.07	Professional		$835.40	$985.07	$985.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $1,418.78	Facility		$723.52	$723.52	$1,418.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $723.52 / $1,502.63	Professional		$528.16	$723.52	$1,502.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.53 / $1,615.50 / $1,995.69	Professional		$1,166.53	$1,615.50	$1,995.69
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 $1,684.98 / $1,684.98 / $1,684.98	Professional		$1,684.98	$1,684.98	$1,684.98
United Facility/Professional Professional Modifier Low / Median / High Price $478.11 / $646.63 / $1,110.04	Professional		$478.11	$646.63	$1,110.04