Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $194.37 / $434.09	Facility		$129.47	$194.37	$434.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.58 / $163.13	Professional		$129.47	$129.58	$163.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.48 / $541.79 / $2,684.84	Facility		$347.48	$541.79	$2,684.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Facility		$129.47	$129.47	$129.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $155.38 / $313.73	Professional		$120.00	$155.38	$313.73
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 $168.32 / $168.32 / $168.32	Professional		$168.32	$168.32	$168.32
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $137.38	Professional		$129.47	$129.47	$137.38