Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $298.33 / $587.77	Facility		$167.06	$298.33	$587.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $170.48 / $217.18	Professional		$167.06	$170.48	$217.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.80 / $758.50 / $5,989.75	Facility		$260.80	$758.50	$5,989.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Facility		$170.48	$170.48	$170.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $255.72 / $570.47	Professional		$144.91	$255.72	$570.47
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 $221.62 / $221.62 / $221.62	Professional		$221.62	$221.62	$221.62
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $227.92	Professional		$170.48	$170.48	$227.92