Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $139.25 / $144.88	Facility		$89.07	$139.25	$144.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $90.23 / $119.88	Professional		$79.95	$90.23	$119.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $765.37 / $1,573.57	Facility		$115.72	$765.37	$1,573.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $110.06 / $139.71	Professional		$97.23	$110.06	$139.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Facility		$125.00	$125.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $120.98 / $180.12	Professional		$83.44	$120.98	$180.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $125.00 / $240.96	Professional		$83.66	$125.00	$240.96
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $107.02 / $120.85	Professional		$103.03	$107.02	$120.85
United Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $111.41 / $196.42	Professional		$85.24	$111.41	$196.42