Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $182.98 / $495.20	Facility		$140.75	$182.98	$495.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $181.73	Professional		$140.75	$140.75	$181.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.30 / $726.30 / $1,767.26	Facility		$429.30	$726.30	$1,767.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Professional		$174.81	$174.81	$174.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $215.35 / $344.71	Professional		$140.75	$215.35	$344.71
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 $182.98 / $182.98 / $182.98	Professional		$182.98	$182.98	$182.98
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $170.49 / $173.38	Professional		$144.47	$170.49	$173.38