Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $90.89 / $159.52	Facility		$69.94	$90.89	$159.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $82.08 / $132.33	Professional		$71.84	$82.08	$132.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $333.04 / $1,155.45	Facility		$163.19	$333.04	$1,155.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $98.40 / $98.40	Professional		$98.40	$98.40	$98.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.78 / $93.78 / $93.78	Facility		$93.78	$93.78	$93.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $93.78	Professional		$93.78	$93.78	$93.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $107.91 / $158.91	Professional		$75.88	$107.91	$158.91
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 $95.93 / $95.93 / $95.93	Professional		$95.93	$95.93	$95.93
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $98.84 / $101.93	Professional		$84.94	$98.84	$101.93