Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $138.05	Facility		$125.50	$125.50	$138.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $153.71	Professional		$125.50	$125.50	$153.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.80 / $568.96 / $2,072.75	Facility		$260.80	$568.96	$2,072.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $155.03 / $155.03	Professional		$155.03	$155.03	$155.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.19 / $204.24	Professional		$34.67	$54.19	$204.24
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 $40.18 / $40.85 / $44.59	Professional		$40.18	$40.85	$44.59
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $162.41 / $177.18	Professional		$147.65	$162.41	$177.18