Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $602.56	Facility		$199.53	$354.81	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $416.87	Professional		$151.36	$173.78	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $831.76 / $2,511.89	Facility		$257.04	$831.76	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $138.04 / $154.88	Professional		$3.47	$138.04	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $467.74 / $933.25	Facility		$131.83	$467.74	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $389.05	Professional		$102.33	$245.47	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $724.44	Professional		$199.53	$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 $199.53 / $199.53 / $407.38	Facility		$199.53	$199.53	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $239.88	Professional		$85.11	$138.04	$239.88