Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $177.83 / $275.42	Facility		$104.71	$177.83	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $446.68 / $1,318.26	Facility		$194.98	$446.68	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $426.58	Professional		$104.71	$199.53	$426.58
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 $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Facility		$104.71	$104.71	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $112.20	Professional		$104.71	$104.71	$112.20