Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $151.36	Facility		$50.12	$95.50	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $102.33	Professional		$37.15	$45.71	$102.33
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 $3.47 / $32.36 / $38.90	Professional		$3.47	$32.36	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $117.49 / $234.42	Facility		$33.11	$117.49	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $89.13	Professional		$33.11	$58.88	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $257.04	Professional		$54.95	$97.72	$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 $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