Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $288.40 / $741.31	Facility		$147.91	$288.40	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $275.42	Professional		$109.65	$131.83	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $1,548.82	Facility		$199.53	$398.11	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $102.33 / $114.82	Professional		$3.47	$102.33	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $331.13 / $676.08	Facility		$95.50	$331.13	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $223.87	Professional		$91.20	$173.78	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $630.96	Professional		$151.36	$281.84	$630.96
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 $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $295.12	Facility		$95.50	$147.91	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $147.91	Professional		$61.66	$107.15	$147.91