Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $201.89 / $578.48	Facility		$111.22	$201.89	$578.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $207.14	Professional		$164.42	$164.42	$207.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $798.29 / $2,843.21	Facility		$432.00	$798.29	$2,843.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.24 / $226.24 / $226.24	Professional		$226.24	$226.24	$226.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $246.63 / $432.59	Professional		$164.42	$246.63	$432.59
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 $213.75 / $213.75 / $213.75	Professional		$213.75	$213.75	$213.75
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $194.02 / $235.16	Professional		$164.42	$194.02	$235.16