Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $363.08 / $630.96	Facility		$208.93	$363.08	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $338.84	Professional		$125.89	$177.83	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $1,949.84	Facility		$245.47	$371.54	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $426.58 / $954.99	Facility		$134.90	$426.58	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $239.88 / $302.00	Professional		$87.10	$239.88	$302.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $416.87	Professional		$208.93	$288.40	$416.87
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 $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $416.87	Facility		$104.71	$208.93	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $186.21	Professional		$87.10	$109.65	$186.21