Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $295.12 / $501.19	Facility		$169.82	$295.12	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $138.04 / $275.42	Professional		$57.54	$138.04	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $588.84 / $2,137.96	Facility		$204.17	$588.84	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $128.82	Professional		$117.49	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $354.81 / $776.25	Facility		$109.65	$354.81	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $281.84	Professional		$83.18	$204.17	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $616.60	Professional		$177.83	$295.12	$616.60
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 $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $338.84	Facility		$169.82	$169.82	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $169.82	Professional		$70.79	$102.33	$169.82