Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $446.68	Facility		$147.91	$263.03	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $245.47	Professional		$100.00	$123.03	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $524.81 / $1,905.46	Facility		$181.97	$524.81	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $104.71 / $114.82	Professional		$3.47	$104.71	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $316.23 / $691.83	Facility		$97.72	$316.23	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $181.97 / $251.19	Professional		$74.13	$181.97	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $380.19	Professional		$158.49	$239.88	$380.19
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 $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $302.00	Facility		$151.36	$151.36	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $151.36	Professional		$63.10	$91.20	$151.36