Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $199.53	Facility		$75.86	$125.89	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $107.15	Professional		$75.86	$75.86	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $1,698.24	Facility		$234.42	$354.81	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $162.18	Professional		$79.43	$109.65	$162.18
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 $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $131.83	Facility		$79.43	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Professional		$75.86	$75.86	$81.28