Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $71.97 / $71.97	Facility		$71.97	$71.97	$71.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $72.00 / $109.38	Professional		$61.50	$72.00	$109.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.86 / $674.21 / $1,470.54	Facility		$228.86	$674.21	$1,470.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $86.15 / $86.15	Professional		$86.15	$86.15	$86.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $190.12	Facility		$52.17	$52.17	$190.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $52.17 / $151.88	Professional		$38.08	$52.17	$151.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $203.59 / $268.26	Professional		$113.35	$203.59	$268.26
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 $147.36 / $147.36 / $147.36	Professional		$147.36	$147.36	$147.36
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $106.38 / $237.57	Professional		$78.48	$106.38	$237.57