Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.40 / $221.40 / $221.40	Facility		$221.40	$221.40	$221.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $221.40 / $367.02	Professional		$194.98	$221.40	$367.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.24 / $903.84 / $3,848.84	Facility		$534.24	$903.84	$3,848.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.96 / $339.96 / $339.96	Professional		$339.96	$339.96	$339.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $489.67	Facility		$318.35	$318.35	$489.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $318.35 / $518.63	Professional		$232.40	$318.35	$518.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.59 / $496.67 / $626.25	Professional		$402.59	$496.67	$626.25
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 $581.52 / $581.52 / $581.52	Professional		$581.52	$581.52	$581.52
United Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $223.16 / $395.16	Professional		$199.36	$223.16	$395.16