Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $155.38	Facility		$141.25	$141.25	$155.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.14 / $1,296.56 / $2,596.36	Facility		$606.14	$1,296.56	$2,596.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.07 / $162.07 / $162.07	Professional		$162.07	$162.07	$162.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.94 / $166.17 / $279.30	Professional		$117.94	$166.17	$279.30
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 $139.38 / $141.49 / $154.30	Professional		$139.38	$141.49	$154.30
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $174.86 / $190.75	Professional		$158.96	$174.86	$190.75