Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $111.44 / $174.15	Facility		$62.47	$111.44	$174.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $63.68 / $75.70	Professional		$62.47	$63.68	$75.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $237.97 / $1,050.38	Facility		$98.11	$237.97	$1,050.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Facility		$63.68	$63.68	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $93.25 / $138.03	Professional		$63.68	$93.25	$138.03
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 $82.78 / $82.78 / $82.78	Professional		$82.78	$82.78	$82.78
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $71.31 / $73.09	Professional		$63.68	$71.31	$73.09