Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.32 / $434.32 / $434.32	Facility		$434.32	$434.32	$434.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $434.32 / $720.00	Professional		$382.50	$434.32	$720.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.81 / $1,772.71 / $7,550.34	Facility		$1,047.81	$1,772.71	$7,550.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.92 / $666.92 / $666.92	Professional		$666.92	$666.92	$666.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $960.55	Facility		$624.54	$624.54	$960.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $1,017.38	Professional		$455.91	$624.54	$1,017.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $784.53 / $962.59 / $1,219.99	Professional		$784.53	$962.59	$1,219.99
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 $1,140.79 / $1,140.79 / $1,140.79	Professional		$1,140.79	$1,140.79	$1,140.79
United Facility/Professional Professional Modifier Low / Median / High Price $349.59 / $437.78 / $775.20	Professional		$349.59	$437.78	$775.20