Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $275.42 / $426.58	Facility		$125.89	$275.42	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $275.42	Professional		$97.72	$117.49	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $588.84 / $1,819.70	Facility		$181.97	$588.84	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $100.00 / $112.20	Professional		$3.47	$100.00	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $331.13 / $660.69	Facility		$93.33	$331.13	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $275.42	Professional		$74.13	$177.83	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $380.19	Professional		$151.36	$234.42	$380.19
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 $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $288.40	Facility		$144.54	$144.54	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $169.82	Professional		$60.26	$97.72	$169.82