Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.95 / $207.95 / $299.92	Facility		$207.95	$207.95	$299.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $223.94 / $470.90	Professional		$187.62	$223.94	$470.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.44 / $1,061.33 / $3,707.35	Facility		$502.44	$1,061.33	$3,707.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $319.31 / $319.31	Professional		$279.00	$319.31	$319.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $462.17	Facility		$373.38	$373.38	$462.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $492.00	Professional		$317.37	$317.37	$492.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $357.13 / $1,020.00 / $1,260.00	Professional		$357.13	$1,020.00	$1,260.00
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 $546.20 / $546.20 / $546.20	Professional		$546.20	$546.20	$546.20
United Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $209.60 / $359.82	Professional		$174.67	$209.60	$359.82