Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $151.16 / $491.40	Facility		$91.11	$151.16	$491.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $110.42 / $1,329.61	Professional		$86.38	$110.42	$1,329.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $768.68 / $2,150.71 / $5,307.21	Facility		$768.68	$2,150.71	$5,307.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Facility		$86.38	$86.38	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $435.24 / $831.91	Professional		$86.38	$435.24	$831.91
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 $112.29 / $112.29 / $112.29	Professional		$112.29	$112.29	$112.29
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $155.47	Professional		$86.38	$86.38	$155.47