Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $281.84	Facility		$95.50	$162.18	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $194.98	Professional		$70.79	$81.28	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $389.05 / $1,202.26	Facility		$120.23	$389.05	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $66.07 / $72.44	Professional		$3.47	$66.07	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $213.80 / $436.52	Facility		$61.66	$213.80	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $114.82 / $177.83	Professional		$48.98	$114.82	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $426.58	Professional		$104.71	$173.78	$426.58
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 $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $190.55	Facility		$95.50	$95.50	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $107.15	Professional		$39.81	$64.57	$107.15