Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $117.49 / $199.53	Facility		$42.66	$117.49	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $52.48	Professional		$41.69	$42.66	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $758.58	Facility		$177.83	$416.87	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $141.25	Professional		$57.54	$100.00	$141.25
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 $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $83.18 / $83.18	Facility		$50.12	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $53.70	Professional		$50.12	$50.12	$53.70