Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $212.40 / $368.01	Facility		$141.00	$212.40	$368.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.60 / $170.89	Professional		$141.00	$141.60	$170.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.81 / $626.88 / $2,330.46	Facility		$272.81	$626.88	$2,330.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Facility		$141.60	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $182.89 / $275.82	Professional		$122.30	$182.89	$275.82
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 $184.08 / $184.08 / $184.08	Professional		$184.08	$184.08	$184.08
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $154.74	Professional		$141.60	$141.60	$154.74