Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $217.96 / $285.33	Facility		$180.20	$217.96	$285.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $205.43	Professional		$180.20	$180.20	$205.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.04 / $1,553.04 / $3,109.96	Facility		$726.04	$1,553.04	$3,109.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $214.12	Professional		$214.12	$214.12	$214.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $22.23 / $150.00	Professional		$14.82	$22.23	$150.00
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $214.72 / $223.82	Professional		$181.97	$214.72	$223.82