Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $630.96	Facility		$204.17	$371.54	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $331.13	Professional		$134.90	$173.78	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $707.95 / $2,511.89	Facility		$245.47	$707.95	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $141.25 / $154.88	Professional		$3.47	$141.25	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $426.58 / $933.25	Facility		$131.83	$426.58	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $234.42 / $338.84	Professional		$91.20	$234.42	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $724.44	Professional		$204.17	$354.81	$724.44
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 $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $407.38	Facility		$204.17	$204.17	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $204.17	Professional		$85.11	$120.23	$204.17