Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.74 / $169.69 / $376.37	Facility		$100.74	$169.69	$376.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $154.71 / $236.57	Professional		$123.72	$154.71	$236.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.57 / $599.87 / $2,555.09	Facility		$354.57	$599.87	$2,555.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $225.69 / $225.69	Professional		$191.40	$225.69	$225.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $325.08	Facility		$176.58	$176.58	$325.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $217.32 / $300.64	Professional		$128.90	$217.32	$300.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $249.48 / $326.66 / $383.60	Professional		$249.48	$326.66	$383.60
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 $386.05 / $386.05 / $386.05	Professional		$386.05	$386.05	$386.05
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $148.15 / $262.33	Professional		$110.30	$148.15	$262.33