Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.16 / $217.96 / $315.44	Facility		$156.16	$217.96	$315.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $162.97 / $210.82	Professional		$156.16	$162.97	$210.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.60 / $726.04 / $2,595.51	Facility		$409.60	$726.04	$2,595.51
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 $166.24 / $256.29 / $374.76	Professional		$166.24	$256.29	$374.76
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 $211.87 / $211.87 / $211.87	Professional		$211.87	$211.87	$211.87
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $192.32 / $218.36	Professional		$162.97	$192.32	$218.36