Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $196.79 / $454.39	Facility		$114.48	$196.79	$454.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $114.48 / $194.13	Professional		$112.45	$114.48	$194.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.87 / $419.16 / $1,720.61	Facility		$247.87	$419.16	$1,720.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $151.91 / $151.91	Professional		$134.52	$151.91	$151.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Facility		$112.45	$112.45	$112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $299.14 / $442.06	Professional		$112.45	$299.14	$442.06
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 $146.19 / $146.19 / $146.19	Professional		$146.19	$146.19	$146.19
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $150.34	Professional		$112.45	$112.45	$150.34