Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $119.70 / $258.20	Facility		$71.52	$119.70	$258.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $73.39 / $119.70	Professional		$71.52	$73.39	$119.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.29 / $305.01 / $963.73	Facility		$200.29	$305.01	$963.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Facility		$71.52	$71.52	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $108.00 / $253.00	Professional		$71.52	$108.00	$253.00
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 $92.98 / $92.98 / $92.98	Professional		$92.98	$92.98	$92.98
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $95.62	Professional		$71.52	$71.52	$95.62