Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $794.33	Facility		$173.78	$331.13	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $309.03	Professional		$120.23	$147.91	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $645.65 / $2,187.76	Facility		$218.78	$645.65	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $120.23 / $131.83	Professional		$3.47	$120.23	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $363.08 / $794.33	Facility		$112.20	$363.08	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $295.12	Professional		$89.13	$208.93	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $457.09	Professional		$181.97	$302.00	$457.09
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 $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $346.74	Facility		$173.78	$173.78	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $181.97	Professional		$72.44	$112.20	$181.97