Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $161.99 / $273.92	Facility		$104.73	$161.99	$273.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.95 / $127.20	Professional		$104.73	$104.95	$127.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.92 / $470.64 / $1,766.79	Facility		$250.92	$470.64	$1,766.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Facility		$104.73	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $146.62 / $422.46	Professional		$100.00	$146.62	$422.46
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 $136.15 / $136.15 / $136.15	Professional		$136.15	$136.15	$136.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $112.15	Professional		$104.73	$104.73	$112.15