Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $691.83	Facility		$147.91	$281.84	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $416.87	Professional		$104.71	$125.89	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $1,348.96	Facility		$186.21	$331.13	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $100.00 / $112.20	Professional		$3.47	$100.00	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $309.03 / $660.69	Facility		$93.33	$309.03	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $177.83 / $263.03	Professional		$74.13	$177.83	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $630.96	Professional		$158.49	$245.47	$630.96
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 $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $173.78 / $288.40	Facility		$87.10	$173.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $223.87	Professional		$87.10	$158.49	$223.87