Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $933.25	Facility		$446.68	$446.68	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $933.25	Professional		$354.81	$457.09	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $6,309.57	Facility		$1,096.48	$1,778.28	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $933.25	Facility		$616.60	$645.65	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $933.25	Professional		$478.63	$478.63	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,348.96	Professional		$776.25	$1,096.48	$1,348.96
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 $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $1,318.26	Facility		$537.03	$724.44	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $676.08	Professional		$346.74	$457.09	$676.08