Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $234.42	Facility		$77.62	$138.04	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $151.36	Professional		$57.54	$70.79	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $812.83	Facility		$104.71	$208.93	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $50.12 / $60.26	Professional		$3.47	$50.12	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $181.97 / $363.08	Facility		$51.29	$181.97	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $154.88	Professional		$54.95	$91.20	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $245.47	Professional		$85.11	$144.54	$245.47
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 $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $77.62 / $154.88	Facility		$51.29	$77.62	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $77.62	Professional		$33.11	$50.12	$77.62