Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $112.20 / $245.47	Facility		$57.54	$112.20	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $165.96	Professional		$45.71	$57.54	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $128.82 / $660.69	Facility		$83.18	$128.82	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $44.67 / $50.12	Professional		$3.47	$44.67	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $144.54 / $295.12	Facility		$41.69	$144.54	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $97.72	Professional		$41.69	$74.13	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $354.81	Professional		$67.61	$151.36	$354.81
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 $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $128.82	Facility		$41.69	$64.57	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $64.57	Professional		$26.92	$38.90	$64.57