Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $158.49 / $275.42	Facility		$91.20	$158.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $177.83	Professional		$67.61	$81.28	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $933.25	Facility		$120.23	$186.21	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $63.10 / $70.79	Professional		$3.47	$63.10	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $208.93 / $416.87	Facility		$58.88	$208.93	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $158.49	Professional		$57.54	$107.15	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $257.04	Professional		$100.00	$141.25	$257.04
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 $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $91.20 / $181.97	Facility		$58.88	$91.20	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $91.20	Professional		$38.02	$54.95	$91.20