Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Facility		$79.45	$79.45	$79.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $68.16 / $79.45	Professional		$51.59	$68.16	$79.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $169.80 / $932.86	Facility		$96.60	$169.80	$932.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $83.49 / $83.49	Professional		$66.79	$83.49	$83.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $99.35 / $128.55	Professional		$79.90	$99.35	$128.55
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 $108.54 / $108.54 / $108.54	Professional		$108.54	$108.54	$108.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $65.94 / $109.05	Professional		$41.65	$65.94	$109.05