Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $138.04 / $501.19	Facility		$67.61	$138.04	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $138.04	Professional		$47.86	$61.66	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $263.03 / $912.01	Facility		$91.20	$263.03	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $50.12 / $56.23	Professional		$3.47	$50.12	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $151.36 / $338.84	Facility		$47.86	$151.36	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.13 / $123.03	Professional		$37.15	$89.13	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $331.13	Professional		$81.28	$141.25	$331.13
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 $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $147.91	Facility		$74.13	$74.13	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $77.62	Professional		$30.90	$45.71	$77.62