Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.63 / $232.63 / $232.63	Facility		$232.63	$232.63	$232.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.86 / $232.63 / $385.61	Professional		$204.86	$232.63	$385.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.27 / $949.57 / $4,044.07	Facility		$561.27	$949.57	$4,044.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.22 / $357.22 / $402.16	Professional		$357.22	$357.22	$402.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $514.46	Facility		$294.27	$294.27	$514.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $294.27 / $544.88	Professional		$214.82	$294.27	$544.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $423.02 / $547.57 / $668.44	Professional		$423.02	$547.57	$668.44
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 $611.03 / $611.03 / $611.03	Professional		$611.03	$611.03	$611.03
United Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $292.60 / $470.02	Facility		$276.79	$292.60	$470.02
United Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $234.49 / $402.53	Professional		$174.55	$234.49	$402.53