Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $489.78	Facility		$169.82	$281.84	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $186.21	Professional		$109.65	$138.04	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $223.87 / $269.15	Facility		$194.98	$223.87	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $380.19 / $758.58	Facility		$107.15	$380.19	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $239.88	Professional		$190.55	$199.53	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $346.74	Professional		$162.18	$229.09	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $331.13	Facility		$162.18	$162.18	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $194.98	Professional		$69.18	$112.20	$194.98