Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,862.09	Facility		$954.99	$954.99	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,659.59	Professional		$776.25	$954.99	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $12,589.25	Facility		$2,238.72	$3,548.13	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,621.81	Professional		$1,174.90	$1,412.54	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,041.74	Facility		$1,202.26	$1,202.26	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,995.26	Professional		$870.96	$870.96	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,398.83	Professional		$1,548.82	$1,995.26	$2,398.83
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 $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $2,691.53	Facility		$691.83	$1,479.11	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,412.54	Professional		$691.83	$912.01	$1,412.54