Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $524.81	Facility		$173.78	$309.03	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $316.23	Professional		$117.49	$147.91	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $616.60 / $2,187.76	Facility		$213.80	$616.60	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $120.23 / $134.90	Professional		$3.47	$120.23	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $371.54 / $812.83	Facility		$114.82	$371.54	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $295.12	Professional		$79.43	$204.17	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $575.44	Professional		$181.97	$316.23	$575.44
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 $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
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 $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78