Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.16 / $215.88 / $494.86	Facility		$104.16	$215.88	$494.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $124.59 / $164.80	Professional		$123.35	$124.59	$164.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $322.49 / $1,441.34	Facility		$124.80	$322.49	$1,441.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $170.54 / $170.54	Professional		$151.01	$170.54	$170.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Facility		$123.36	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $141.86 / $196.80	Professional		$114.39	$141.86	$196.80
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 $160.37 / $160.37 / $160.37	Professional		$160.37	$160.37	$160.37
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $130.88	Professional		$123.36	$123.36	$130.88