Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.99 / $204.99 / $204.99	Facility		$204.99	$204.99	$204.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $204.99 / $339.85	Professional		$180.55	$204.99	$339.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.49 / $836.59 / $3,563.55	Facility		$494.49	$836.59	$3,563.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.77 / $314.77 / $314.77	Professional		$314.77	$314.77	$314.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $453.39	Facility		$267.94	$267.94	$453.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $480.00	Professional		$195.60	$267.94	$480.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $482.14 / $582.48	Professional		$372.75	$482.14	$582.48
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 $538.41 / $538.41 / $538.41	Professional		$538.41	$538.41	$538.41
United Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $206.62 / $354.70	Professional		$157.68	$206.62	$354.70