Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $118.38 / $165.73	Facility		$51.41	$118.38	$165.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $78.92 / $114.43	Professional		$51.41	$78.92	$114.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $157.03 / $416.00	Facility		$53.17	$157.03	$416.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $79.86	Professional		$70.70	$70.70	$79.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Facility		$78.92	$78.92	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $118.38 / $204.94	Professional		$78.92	$118.38	$204.94
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 $102.60 / $102.60 / $102.60	Professional		$102.60	$102.60	$102.60
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $83.46 / $103.66	Professional		$78.92	$83.46	$103.66