Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $285.16 / $495.25	Facility		$189.75	$285.16	$495.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $193.76 / $229.98	Professional		$189.75	$193.76	$229.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.75 / $744.90 / $3,691.35	Facility		$477.75	$744.90	$3,691.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Facility		$193.76	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $193.76 / $271.26	Professional		$142.63	$193.76	$271.26
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 $251.89 / $251.89 / $251.89	Professional		$251.89	$251.89	$251.89
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $201.16	Professional		$193.76	$193.76	$201.16