Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $81.59	Facility		$73.81	$73.81	$81.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $84.15	Professional		$73.81	$73.81	$84.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $293.70 / $1,065.28	Facility		$155.19	$293.70	$1,065.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $78.48 / $78.48	Professional		$78.48	$78.48	$78.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $124.02 / $188.84	Professional		$81.20	$124.02	$188.84
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 $95.97 / $95.97 / $95.97	Professional		$95.97	$95.97	$95.97
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $79.64 / $88.58	Professional		$73.81	$79.64	$88.58