Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $302.00 / $524.81	Facility		$177.83	$302.00	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $199.53	Professional		$117.49	$144.54	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $234.42 / $281.84	Facility		$208.93	$234.42	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $323.59 / $891.25	Facility		$114.82	$323.59	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $257.04	Professional		$204.17	$213.80	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $346.74	Professional		$173.78	$245.47	$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 $173.78 / $173.78 / $346.74	Facility		$173.78	$173.78	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78