Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $112.97 / $119.51	Facility		$110.50	$112.97	$119.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $63.84 / $98.69	Professional		$53.46	$63.84	$98.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.19 / $320.19 / $320.19	Facility		$320.19	$320.19	$320.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $103.99 / $104.72	Professional		$87.42	$103.99	$104.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $99.37 / $140.79	Professional		$71.29	$99.37	$140.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $111.20 / $370.41	Professional		$78.20	$111.20	$370.41
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 $87.93 / $90.35 / $95.68	Professional		$87.93	$90.35	$95.68
United Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $93.90 / $145.62	Professional		$71.14	$93.90	$145.62