Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $229.09	Facility		$75.86	$131.83	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $61.66 / $91.20	Professional		$21.88	$61.66	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $263.03 / $954.99	Facility		$93.33	$263.03	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $52.48 / $57.54	Professional		$3.47	$52.48	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $151.36 / $346.74	Facility		$48.98	$151.36	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $43.65 / $114.82	Professional		$15.14	$43.65	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $199.53	Professional		$77.62	$114.82	$199.53
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 $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $75.86 / $151.36	Facility		$26.92	$75.86	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $31.62 / $60.26	Professional		$16.60	$31.62	$60.26