Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $147.91	Facility		$50.12	$85.11	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $93.33	Professional		$37.15	$41.69	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $204.17 / $616.60	Facility		$63.10	$204.17	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $32.36 / $38.02	Professional		$3.47	$32.36	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $114.82 / $229.09	Facility		$32.36	$114.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $95.50	Professional		$25.12	$60.26	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $120.23 / $338.84	Professional		$54.95	$120.23	$338.84
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 $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $58.88	Professional		$20.89	$33.88	$58.88