Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $218.78 / $331.13	Facility		$162.18	$218.78	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $257.04	Professional		$162.18	$162.18	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $2,454.71	Facility		$398.11	$724.44	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $407.38	Professional		$169.82	$275.42	$407.38
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 $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $257.04	Facility		$194.98	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $218.78	Professional		$162.18	$194.98	$218.78