Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $446.68 / $776.25	Facility		$251.19	$446.68	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $398.11	Professional		$173.78	$218.78	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $354.81 / $2,511.89	Facility		$39.81	$354.81	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $177.83 / $199.53	Professional		$3.47	$177.83	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $489.78 / $1,202.26	Facility		$169.82	$489.78	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $309.03 / $436.52	Professional		$125.89	$309.03	$436.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $776.25	Professional		$263.03	$426.58	$776.25
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 $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $524.81	Facility		$169.82	$263.03	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $263.03	Professional		$109.65	$154.88	$263.03