Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $512.86	Facility		$138.04	$275.42	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $218.78	Professional		$100.00	$144.54	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $602.56 / $2,137.96	Facility		$208.93	$602.56	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $117.49 / $131.83	Professional		$3.47	$117.49	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $354.81 / $776.25	Facility		$109.65	$354.81	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $186.21 / $288.40	Professional		$77.62	$186.21	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $537.03	Professional		$177.83	$295.12	$537.03
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 $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $338.84	Facility		$169.82	$169.82	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $141.25	Professional		$70.79	$77.62	$141.25