Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $203.21 / $630.37	Facility		$177.56	$203.21	$630.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $243.84	Professional		$177.56	$177.56	$243.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.65 / $1,319.04 / $2,641.37	Facility		$616.65	$1,319.04	$2,641.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.77 / $188.77 / $188.77	Professional		$188.77	$188.77	$188.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $255.84 / $426.14	Professional		$142.05	$255.84	$426.14
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 $230.83 / $230.83 / $230.83	Professional		$230.83	$230.83	$230.83
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $183.79 / $194.67	Professional		$155.75	$183.79	$194.67