Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $223.04 / $329.49	Facility		$126.24	$223.04	$329.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $127.45 / $153.00	Professional		$126.24	$127.45	$153.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.27 / $596.03 / $2,953.64	Facility		$382.27	$596.03	$2,953.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Facility		$127.45	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $184.80 / $320.29	Professional		$120.00	$184.80	$320.29
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 $165.69 / $165.69 / $165.69	Professional		$165.69	$165.69	$165.69
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $139.72	Professional		$127.45	$127.45	$139.72