Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $90.88 / $149.88	Facility		$56.10	$90.88	$149.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $69.61	Professional		$56.10	$56.10	$69.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.35 / $215.98 / $1,070.30	Facility		$141.35	$215.98	$1,070.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $67.56 / $117.85	Professional		$49.92	$67.56	$117.85
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 $72.93 / $72.93 / $72.93	Professional		$72.93	$72.93	$72.93
United Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $56.06 / $124.86	Facility		$56.06	$56.06	$124.86
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $61.29	Professional		$56.10	$56.10	$61.29