Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.85 / $266.85 / $266.85	Facility		$266.85	$266.85	$266.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $266.85 / $339.92	Professional		$180.58	$266.85	$339.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.95 / $1,362.00 / $4,757.60	Facility		$643.95	$1,362.00	$4,757.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $444.81	Facility		$252.68	$252.68	$444.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $252.68 / $625.13	Professional		$194.10	$252.68	$625.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $431.33 / $585.08 / $700.91	Professional		$431.33	$585.08	$700.91
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 $700.91 / $700.91 / $700.91	Professional		$700.91	$700.91	$700.91
United Facility/Professional Professional Modifier Low / Median / High Price $179.32 / $268.98 / $461.75	Professional		$179.32	$268.98	$461.75