Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $3,090.30	Facility		$186.21	$186.21	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $380.19	Professional		$151.36	$190.55	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $851.14 / $3,311.31	Facility		$446.68	$851.14	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $288.40	Professional		$251.19	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $512.86	Facility		$251.19	$302.00	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $436.52	Professional		$257.04	$257.04	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $758.58 / $912.01	Professional		$316.23	$758.58	$912.01
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 $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $380.19	Facility		$208.93	$257.04	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $295.12	Professional		$144.54	$186.21	$295.12