Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.05 / $470.19 / $5,250.60	Facility		$203.05	$470.19	$5,250.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.09 / $203.05 / $303.69	Professional		$164.09	$203.05	$303.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.72 / $1,036.35 / $3,620.06	Facility		$489.72	$1,036.35	$3,620.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $358.45	Facility		$274.27	$274.27	$358.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $475.50	Professional		$233.13	$274.27	$475.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $451.28 / $544.52	Professional		$345.40	$451.28	$544.52
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 $533.33 / $533.33 / $533.33	Professional		$533.33	$533.33	$533.33
United Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $204.67 / $351.35	Professional		$136.44	$204.67	$351.35