Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $211.49 / $366.52	Facility		$140.43	$211.49	$366.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $140.99 / $170.20	Professional		$140.43	$140.99	$170.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.60 / $570.86 / $2,828.89	Facility		$373.60	$570.86	$2,828.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Facility		$140.99	$140.99	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.84 / $182.95 / $302.36	Professional		$122.84	$182.95	$302.36
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 $183.29 / $183.29 / $183.29	Professional		$183.29	$183.29	$183.29
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $149.10 / $165.98	Professional		$140.99	$149.10	$165.98