Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $117.49 / $204.17	Facility		$69.18	$117.49	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $102.33	Professional		$43.65	$56.23	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $239.88 / $851.14	Facility		$83.18	$239.88	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $141.25 / $316.23	Facility		$44.67	$141.25	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $83.18 / $114.82	Professional		$30.90	$83.18	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $309.03	Professional		$75.86	$125.89	$309.03
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 $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $138.04	Facility		$69.18	$69.18	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $58.88	Professional		$28.84	$35.48	$58.88