Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,174.90	Facility		$602.56	$602.56	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $954.99	Professional		$467.74	$602.56	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $7,943.28	Facility		$1,412.54	$2,238.72	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Facility		$758.58	$758.58	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,202.26	Professional		$549.54	$549.54	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,412.54	Professional		$794.33	$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 $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $933.25 / $1,584.89	Facility		$407.38	$933.25	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $851.14	Professional		$407.38	$575.44	$851.14