Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.01 / $906.01 / $906.01	Facility		$906.01	$906.01	$906.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.87 / $906.01 / $1,501.88	Professional		$797.87	$906.01	$1,501.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,416.28 / $8,814.24 / $19,224.98	Facility		$2,416.28	$8,814.24	$19,224.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $2,003.75	Facility		$1,022.07	$1,022.07	$2,003.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $2,122.13	Professional		$868.76	$1,022.07	$2,122.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.47 / $2,602.50 / $3,150.00	Professional		$1,647.47	$2,602.50	$3,150.00
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 $2,379.67 / $2,379.67 / $2,379.67	Professional		$2,379.67	$2,379.67	$2,379.67
United Facility/Professional Professional Modifier Low / Median / High Price $680.02 / $913.23 / $1,567.71	Professional		$680.02	$913.23	$1,567.71