Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $151.36 / $245.47	Facility		$81.28	$151.36	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $154.88	Professional		$58.88	$72.44	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $831.76	Facility		$109.65	$213.80	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $52.48 / $61.66	Professional		$3.47	$52.48	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $186.21 / $371.54	Facility		$52.48	$186.21	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $138.04	Professional		$51.29	$93.33	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $213.80	Professional		$87.10	$120.23	$213.80
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 $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $81.28 / $162.18	Facility		$52.48	$81.28	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $81.28	Professional		$33.88	$57.54	$81.28