Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $248.75 / $422.72	Facility		$161.96	$248.75	$422.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $165.83 / $196.28	Professional		$161.96	$165.83	$196.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.07 / $600.53 / $2,707.91	Facility		$355.07	$600.53	$2,707.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Facility		$165.83	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $182.41 / $263.80	Professional		$140.96	$182.41	$263.80
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 $215.58 / $215.58 / $215.58	Professional		$215.58	$215.58	$215.58
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $175.95	Professional		$165.83	$165.83	$175.95