Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $645.65 / $1,122.02	Facility		$380.19	$645.65	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $426.58	Professional		$251.19	$309.03	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $501.19 / $616.60	Facility		$446.68	$501.19	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $794.33 / $1,737.80	Facility		$245.47	$794.33	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $501.19	Professional		$398.11	$446.68	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $676.08	Professional		$302.00	$501.19	$676.08
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 $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $371.54	Professional		$158.49	$223.87	$371.54