Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $111.30 / $194.15	Facility		$54.10	$111.30	$194.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $77.41 / $133.72	Professional		$70.37	$77.41	$133.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $274.51 / $883.70	Facility		$155.19	$274.51	$883.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $79.89 / $79.89	Professional		$79.89	$79.89	$79.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $105.57 / $150.82	Professional		$72.04	$105.57	$150.82
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 $91.49 / $91.49 / $91.49	Professional		$91.49	$91.49	$91.49
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $85.23 / $88.70	Professional		$72.23	$85.23	$88.70