Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.61 / $176.61 / $176.61	Facility		$176.61	$176.61	$176.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $176.61 / $214.78	Professional		$138.02	$176.61	$214.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.55 / $1,654.52 / $3,608.72	Facility		$453.55	$1,654.52	$3,608.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.46 / $261.14 / $261.14	Professional		$221.46	$261.14	$261.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $376.08	Facility		$192.25	$192.25	$376.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $398.25	Professional		$140.34	$192.25	$398.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $288.87 / $367.82 / $429.23	Professional		$288.87	$367.82	$429.23
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 $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $170.56 / $294.27	Professional		$127.91	$170.56	$294.27