Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.12 / $195.29 / $313.20	Facility		$153.12	$195.29	$313.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $169.87 / $270.60	Professional		$134.49	$169.87	$270.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.42 / $640.22 / $2,724.38	Facility		$378.42	$640.22	$2,724.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.09 / $240.65 / $240.65	Professional		$204.09	$240.65	$240.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $346.63	Facility		$176.75	$176.75	$346.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $367.13	Professional		$129.03	$176.75	$367.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $279.41 / $352.82 / $496.10	Professional		$279.41	$352.82	$496.10
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 $411.63 / $411.63 / $411.63	Professional		$411.63	$411.63	$411.63
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $157.97 / $271.18	Professional		$117.60	$157.97	$271.18