Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.69 / $330.69 / $330.69	Facility		$330.69	$330.69	$330.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.37 / $330.69 / $561.64	Professional		$298.37	$330.69	$561.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $798.18 / $1,687.79 / $5,895.62	Facility		$798.18	$1,687.79	$5,895.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $734.94	Facility		$375.74	$375.74	$734.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $782.50	Professional		$319.38	$319.38	$782.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $534.50 / $668.13 / $828.48	Professional		$534.50	$668.13	$828.48
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 $868.57 / $868.57 / $868.57	Professional		$868.57	$868.57	$868.57
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $333.32 / $572.21	Professional		$250.00	$333.32	$572.21