Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $549.54	Facility		$263.03	$263.03	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $524.81	Professional		$173.78	$263.03	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $4,677.35	Facility		$630.96	$1,202.26	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $457.09	Facility		$251.19	$251.19	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $524.81	Professional		$194.98	$194.98	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $758.58	Professional		$416.87	$588.84	$758.58
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 $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $302.00 / $549.54	Facility		$204.17	$302.00	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $380.19	Professional		$181.97	$269.15	$380.19