Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $93.33 / $162.18	Facility		$53.70	$93.33	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $81.28	Professional		$34.67	$44.67	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $501.19	Facility		$64.57	$97.72	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $37.15 / $40.74	Professional		$3.47	$37.15	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $112.20 / $245.47	Facility		$34.67	$112.20	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $61.66 / $87.10	Professional		$23.99	$61.66	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $147.91	Professional		$58.88	$85.11	$147.91
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 $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $107.15	Facility		$53.70	$53.70	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $54.95	Professional		$22.39	$29.51	$54.95