Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $398.11	Facility		$138.04	$234.42	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $147.91	Professional		$89.13	$109.65	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $181.97 / $218.78	Facility		$162.18	$181.97	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $251.19 / $676.08	Facility		$87.10	$251.19	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $194.98	Professional		$154.88	$162.18	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $338.84	Professional		$134.90	$186.21	$338.84
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 $134.90 / $134.90 / $269.15	Facility		$134.90	$134.90	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $134.90	Professional		$56.23	$81.28	$134.90