Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $120.23	Facility		$109.65	$112.20	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $125.89	Professional		$54.95	$66.07	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $104.71	Professional		$87.10	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $151.36	Professional		$69.18	$100.00	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $323.59 / $380.19	Professional		$77.62	$323.59	$380.19
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 $87.10 / $91.20 / $95.50	Professional		$87.10	$91.20	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $138.04	Professional		$67.61	$91.20	$138.04