Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $309.03	Facility		$102.33	$181.97	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $194.98	Professional		$75.86	$91.20	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $1,071.52	Facility		$138.04	$269.15	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $70.79 / $79.43	Professional		$3.47	$70.79	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $234.42 / $478.63	Facility		$67.61	$234.42	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $158.49	Professional		$66.07	$120.23	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $630.96	Professional		$107.15	$194.98	$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 $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $204.17	Facility		$67.61	$102.33	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $102.33	Professional		$43.65	$74.13	$102.33