Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.62 / $242.38 / $409.37	Facility		$91.62	$242.38	$409.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $80.37 / $118.21	Professional		$34.53	$80.37	$118.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $212.46 / $727.67	Facility		$72.45	$212.46	$727.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.58 / $80.14 / $90.80	Professional		$76.58	$80.14	$90.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $77.91 / $131.63	Professional		$23.00	$77.91	$131.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $81.76 / $130.88	Professional		$55.84	$81.76	$130.88
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 $68.06 / $69.47 / $73.13	Professional		$68.06	$69.47	$73.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $68.77 / $90.09	Professional		$30.37	$68.77	$90.09