Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $616.60	Facility		$208.93	$338.84	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $316.23	Professional		$141.25	$177.83	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $2,691.53	Facility		$251.19	$331.13	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $158.49	Professional		$144.54	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $436.52 / $954.99	Facility		$134.90	$436.52	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $251.19 / $346.74	Professional		$95.50	$251.19	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $1,000.00	Professional		$213.80	$354.81	$1,000.00
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 $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $416.87	Facility		$208.93	$208.93	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $213.80	Professional		$87.10	$123.03	$213.80