Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,096.48	Facility		$562.34	$562.34	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $977.24	Professional		$467.74	$562.34	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $7,585.78	Facility		$1,318.26	$2,089.30	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $831.76	Professional		$645.65	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,202.26	Facility		$602.56	$602.56	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,202.26	Professional		$446.68	$446.68	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,412.54	Professional		$891.25	$1,122.02	$1,412.54
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 $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $870.96 / $1,584.89	Facility		$407.38	$870.96	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $831.76	Professional		$363.08	$537.03	$831.76