Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $83.18 / $151.52	Facility		$48.38	$83.18	$151.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.38 / $65.27	Professional		$47.53	$48.38	$65.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.91 / $238.78 / $813.30	Facility		$103.91	$238.78	$813.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Facility		$47.52	$47.52	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Professional		$47.52	$47.52	$47.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $86.95 / $200.00	Professional		$47.53	$86.95	$200.00
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 $61.79 / $61.79 / $61.79	Professional		$61.79	$61.79	$61.79
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $53.23 / $59.41	Professional		$47.53	$53.23	$59.41