Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $122.89 / $254.13	Facility		$75.86	$122.89	$254.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.94	Professional		$75.86	$75.86	$91.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.75 / $297.76 / $1,181.11	Facility		$167.75	$297.76	$1,181.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $106.20 / $336.88	Professional		$64.48	$106.20	$336.88
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 $98.62 / $98.62 / $98.62	Professional		$98.62	$98.62	$98.62
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $87.14	Professional		$75.86	$75.86	$87.14