Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $302.00	Facility		$100.00	$173.78	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $158.49	Professional		$75.86	$91.20	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $354.81 / $1,258.93	Facility		$123.03	$354.81	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $69.18 / $77.62	Professional		$3.47	$69.18	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $208.93 / $467.74	Facility		$66.07	$208.93	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $169.82	Professional		$48.98	$123.03	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $323.59	Professional		$112.20	$177.83	$323.59
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 $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $204.17	Facility		$100.00	$100.00	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $100.00	Professional		$42.66	$60.26	$100.00