Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $109.65 / $169.82	Facility		$66.07	$109.65	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $102.33	Professional		$64.57	$66.07	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $954.99	Facility		$134.90	$323.59	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $2,951.21	Professional		$56.23	$91.20	$2,951.21
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 $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $104.71	Facility		$66.07	$66.07	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Professional		$66.07	$66.07	$69.18