Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $38.58 / $42.62	Facility		$38.58	$38.58	$42.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $38.58 / $60.06	Professional		$30.16	$38.58	$60.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $150.63 / $645.92	Facility		$89.04	$150.63	$645.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $57.05 / $57.05	Professional		$48.38	$57.05	$57.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $82.17	Facility		$41.91	$41.91	$82.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $87.87	Professional		$30.59	$30.59	$87.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $83.35 / $105.10	Professional		$65.45	$83.35	$105.10
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 $97.59 / $97.59 / $97.59	Professional		$97.59	$97.59	$97.59
United Facility/Professional Facility Modifier Low / Median / High Price $75.06 / $107.32 / $199.43	Facility		$75.06	$107.32	$199.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $37.45 / $70.22	Professional		$27.89	$37.45	$70.22