Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $138.04	Facility		$125.89	$125.89	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $1,995.26	Facility		$263.03	$512.86	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
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 $34.67 / $57.54 / $208.93	Professional		$34.67	$57.54	$208.93
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 $39.81 / $40.74 / $44.67	Professional		$39.81	$40.74	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $177.83	Professional		$147.91	$162.18	$177.83