Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $831.76	Facility		$154.88	$302.00	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $407.38	Professional		$112.20	$128.82	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $407.38 / $1,548.82	Facility		$204.17	$407.38	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $104.71 / $114.82	Professional		$3.47	$104.71	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $338.84 / $691.83	Facility		$97.72	$338.84	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $186.21 / $309.03	Professional		$77.62	$186.21	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $707.95	Professional		$165.96	$288.40	$707.95
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 $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $302.00	Facility		$91.20	$181.97	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $251.19	Professional		$91.20	$177.83	$251.19