Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $102.33 / $190.55	Facility		$57.54	$102.33	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $112.20	Professional		$42.66	$50.12	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $181.97 / $602.56	Facility		$77.62	$181.97	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $39.81 / $44.67	Professional		$3.47	$39.81	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $89.13	Professional		$67.61	$83.18	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $263.03	Professional		$63.10	$107.15	$263.03
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 $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $57.54 / $114.82	Facility		$42.66	$57.54	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $57.54	Professional		$24.55	$42.66	$57.54