Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $275.42	Facility		$93.33	$158.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $104.71	Professional		$61.66	$77.62	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $147.91	Facility		$109.65	$123.03	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $213.80 / $416.87	Facility		$60.26	$213.80	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $134.90	Professional		$107.15	$112.20	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $234.42	Professional		$95.50	$128.82	$234.42
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 $91.20 / $91.20 / $181.97	Facility		$91.20	$91.20	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $107.15	Professional		$38.90	$61.66	$107.15