Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $194.98	Facility		$64.57	$114.82	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $125.89	Professional		$47.86	$57.54	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $676.08	Facility		$75.86	$114.82	$676.08
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 $42.66 / $147.91 / $302.00	Facility		$42.66	$147.91	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $97.72	Professional		$42.66	$75.86	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $199.53	Professional		$67.61	$97.72	$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 $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $128.82	Facility		$42.66	$64.57	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $64.57	Professional		$27.54	$38.90	$64.57