Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $281.27 / $563.24	Facility		$168.13	$281.27	$563.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $168.13 / $226.03	Professional		$164.59	$168.13	$226.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.51 / $722.70 / $3,581.36	Facility		$463.51	$722.70	$3,581.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Facility		$164.59	$164.59	$164.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $233.88 / $398.44	Professional		$142.66	$233.88	$398.44
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 $213.97 / $213.97 / $213.97	Professional		$213.97	$213.97	$213.97
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $198.67	Professional		$164.59	$164.59	$198.67