Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $112.13 / $187.03	Facility		$66.64	$112.13	$187.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $68.64 / $86.86	Professional		$66.64	$68.64	$86.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $186.78 / $834.82	Facility		$89.60	$186.78	$834.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $79.97 / $120.00	Professional		$64.09	$79.97	$120.00
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 $86.63 / $86.63 / $86.63	Professional		$86.63	$86.63	$86.63
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $74.64 / $89.09	Professional		$66.64	$74.64	$89.09