Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $776.25	Facility		$100.00	$251.19	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $141.25	Professional		$81.28	$102.33	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $165.96 / $199.53	Facility		$147.91	$165.96	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $316.23 / $562.34	Facility		$79.43	$316.23	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $177.83	Professional		$141.25	$147.91	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $309.03	Professional		$123.03	$169.82	$309.03
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 $123.03 / $123.03 / $245.47	Facility		$123.03	$123.03	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $151.36	Professional		$51.29	$83.18	$151.36