Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $307.20 / $514.55	Facility		$153.60	$307.20	$514.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $191.23	Professional		$153.60	$153.60	$191.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.19 / $472.55 / $2,770.79	Facility		$219.19	$472.55	$2,770.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $171.13 / $206.56	Professional		$129.72	$171.13	$206.56
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $169.76	Professional		$160.00	$160.00	$169.76