Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $91.20 / $141.25	Facility		$54.95	$91.20	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $95.50	Professional		$53.70	$54.95	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $177.83 / $707.95	Facility		$102.33	$177.83	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $302.00	Professional		$54.95	$93.33	$302.00
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 $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $93.33	Facility		$54.95	$54.95	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Professional		$54.95	$54.95	$58.88