Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $524.81	Facility		$173.78	$302.00	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $354.81	Professional		$128.82	$154.88	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $1,778.28	Facility		$234.42	$467.74	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $120.23 / $131.83	Professional		$3.47	$120.23	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $389.05 / $794.33	Facility		$112.20	$389.05	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $234.42 / $363.08	Professional		$89.13	$234.42	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $416.87	Professional		$190.55	$275.42	$416.87
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 $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $346.74	Facility		$104.71	$208.93	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $288.40	Professional		$104.71	$204.17	$288.40