Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $229.09 / $407.38	Facility		$138.04	$229.09	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $208.93	Professional		$93.33	$114.82	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $218.78 / $1,778.28	Facility		$165.96	$218.78	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $295.12 / $630.96	Facility		$89.13	$295.12	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $229.09	Professional		$61.66	$158.49	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $524.81	Professional		$151.36	$245.47	$524.81
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 $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $275.42	Facility		$138.04	$138.04	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $138.04	Professional		$57.54	$81.28	$138.04