Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $336.56 / $826.58	Facility		$182.45	$336.56	$826.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $189.74 / $237.30	Professional		$182.45	$189.74	$237.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $418.79 / $2,528.67	Facility		$144.00	$418.79	$2,528.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.91 / $251.74 / $251.74	Professional		$222.91	$251.74	$251.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Facility		$182.45	$182.45	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $204.90 / $478.53	Professional		$121.10	$204.90	$478.53
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 $237.19 / $237.19 / $237.19	Professional		$237.19	$237.19	$237.19
United Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $182.33 / $182.33	Facility		$182.33	$182.33	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $243.92	Professional		$182.45	$182.45	$243.92