Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $125.89 / $190.55	Facility		$72.44	$125.89	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $147.91	Professional		$72.44	$75.86	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $933.25	Facility		$199.53	$316.23	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $309.03	Professional		$70.79	$114.82	$309.03
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 $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $123.03	Facility		$74.13	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $79.43	Professional		$72.44	$72.44	$79.43