Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $426.58 / $776.25	Facility		$245.47	$426.58	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $512.86	Professional		$181.97	$229.09	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $2,691.53	Facility		$346.74	$691.83	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $177.83 / $199.53	Professional		$3.47	$177.83	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $588.84 / $1,174.90	Facility		$165.96	$588.84	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $316.23 / $524.81	Professional		$131.83	$316.23	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $954.99	Professional		$263.03	$467.74	$954.99
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 $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $512.86	Facility		$154.88	$309.03	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $302.00	Professional		$107.15	$173.78	$302.00