Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.35 / $279.35 / $279.35	Facility		$279.35	$279.35	$279.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.40 / $279.68 / $427.70	Professional		$245.40	$279.68	$427.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.16 / $1,140.56 / $4,856.35	Facility		$674.16	$1,140.56	$4,856.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $602.78	Facility		$365.10	$365.10	$602.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $654.38	Professional		$266.52	$365.10	$654.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $1,247.58 / $1,518.80	Professional		$479.76	$1,247.58	$1,518.80
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 $733.75 / $733.75 / $733.75	Professional		$733.75	$733.75	$733.75
United Facility/Professional Professional Modifier Low / Median / High Price $200.39 / $281.58 / $593.79	Professional		$200.39	$281.58	$593.79