Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $562.34	Facility		$190.55	$331.13	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $158.49 / $234.42	Professional		$48.98	$158.49	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $257.04 / $1,584.89	Facility		$107.15	$257.04	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $131.83 / $144.54	Professional		$3.47	$131.83	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $380.19 / $870.96	Facility		$109.65	$380.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $208.93 / $275.42	Professional		$37.15	$208.93	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $478.63	Professional		$120.23	$269.15	$478.63
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 $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $190.55 / $380.19	Facility		$67.61	$190.55	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $158.49	Professional		$38.90	$79.43	$158.49