Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $223.87 / $426.58	Facility		$125.89	$223.87	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $257.04	Professional		$95.50	$114.82	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $1,621.81	Facility		$162.18	$524.81	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $89.13 / $100.00	Professional		$3.47	$89.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $295.12 / $588.84	Facility		$83.18	$295.12	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $158.49 / $257.04	Professional		$63.10	$158.49	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $891.25	Professional		$134.90	$239.88	$891.25
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 $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $257.04	Facility		$77.62	$154.88	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $151.36	Professional		$53.70	$87.10	$151.36