Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $213.80 / $489.78	Facility		$107.15	$213.80	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $257.04	Professional		$91.20	$107.15	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $501.19 / $1,548.82	Facility		$158.49	$501.19	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $85.11 / $95.50	Professional		$3.47	$85.11	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $281.84 / $562.34	Facility		$81.28	$281.84	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $151.36 / $234.42	Professional		$63.10	$151.36	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $588.84	Professional		$128.82	$223.87	$588.84
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 $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $245.47	Facility		$123.03	$123.03	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $144.54	Professional		$52.48	$83.18	$144.54