Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $89.13 / $151.36	Facility		$50.12	$89.13	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $104.71	Professional		$33.11	$43.65	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $524.81	Facility		$67.61	$134.90	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $50.12	Professional		$34.67	$38.90	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $112.20 / $234.42	Facility		$33.11	$112.20	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $81.28	Professional		$31.62	$58.88	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $346.74	Professional		$54.95	$97.72	$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 $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $50.12 / $100.00	Facility		$33.11	$50.12	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $36.31 / $50.12	Professional		$21.38	$36.31	$50.12