Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $154.88	Facility		$51.29	$89.13	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $97.72	Professional		$33.88	$43.65	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $208.93 / $645.65	Facility		$64.57	$208.93	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $35.48 / $39.81	Professional		$3.47	$35.48	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $117.49 / $234.42	Facility		$33.11	$117.49	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $63.10 / $102.33	Professional		$26.30	$63.10	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $151.36	Professional		$56.23	$77.62	$151.36
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 $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $102.33	Facility		$51.29	$51.29	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $60.26	Professional		$21.38	$34.67	$60.26