Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $602.56	Facility		$151.36	$302.00	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $169.82	Professional		$107.15	$128.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $269.15 / $323.59	Facility		$239.88	$269.15	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $389.05 / $912.01	Facility		$128.82	$389.05	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $288.40	Professional		$229.09	$239.88	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $363.08	Professional		$199.53	$269.15	$363.08
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 $177.83 / $199.53 / $295.12	Facility		$177.83	$199.53	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $147.91	Professional		$63.10	$91.20	$147.91