Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $144.54	Facility		$89.13	$138.04	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $128.82	Professional		$77.62	$91.20	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $1,479.11	Facility		$95.50	$125.89	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $141.25	Professional		$97.72	$109.65	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $177.83	Professional		$83.18	$120.23	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $245.47	Professional		$83.18	$125.89	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $120.23	Professional		$102.33	$107.15	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Facility		$83.18	$83.18	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $177.83	Professional		$83.18	$109.65	$177.83