Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $478.63	Facility		$162.18	$263.03	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $186.21	Professional		$107.15	$134.90	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $213.80 / $263.03	Facility		$190.55	$213.80	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $295.12 / $812.83	Facility		$104.71	$295.12	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $245.47	Professional		$181.97	$194.98	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $346.74	Professional		$151.36	$213.80	$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
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $158.49 / $323.59	Facility		$120.23	$158.49	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $158.49	Professional		$67.61	$95.50	$158.49