Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $436.52 / $758.58	Facility		$257.04	$436.52	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $416.87	Professional		$173.78	$208.93	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $891.25 / $3,235.94	Facility		$309.03	$891.25	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $524.81 / $1,174.90	Facility		$165.96	$524.81	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $309.03 / $426.58	Professional		$125.89	$309.03	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $645.65	Professional		$263.03	$407.38	$645.65
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 $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $512.86	Facility		$257.04	$257.04	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $263.03	Professional		$107.15	$128.82	$263.03