Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $257.04 / $691.83	Facility		$125.89	$257.04	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $371.54	Professional		$95.50	$128.82	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $416.87 / $1,288.25	Facility		$169.82	$416.87	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $87.10 / $97.72	Professional		$3.47	$87.10	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $288.40 / $575.44	Facility		$81.28	$288.40	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $169.82 / $263.03	Professional		$64.57	$169.82	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $776.25	Professional		$138.04	$239.88	$776.25
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 $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.36 / $251.19	Facility		$75.86	$151.36	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $208.93	Professional		$75.86	$147.91	$208.93