Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $61.66	Professional		$34.67	$53.70	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $199.53	Facility		$104.71	$138.04	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $269.15	Facility		$141.25	$251.19	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $70.79	Professional		$47.86	$64.57	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $346.74	Professional		$100.00	$134.90	$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 $75.86 / $75.86 / $257.04	Facility		$75.86	$75.86	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $109.65	Professional		$52.48	$72.44	$109.65