Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $124.50 / $285.64	Facility		$124.50	$124.50	$285.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $126.20 / $192.97	Professional		$97.30	$126.20	$192.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.38 / $489.58 / $2,084.19	Facility		$289.38	$489.58	$2,084.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $184.09 / $184.09	Professional		$156.12	$184.09	$184.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $265.18	Facility		$135.22	$135.22	$265.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $176.62 / $245.30	Professional		$98.72	$176.62	$245.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.14 / $266.45 / $321.95	Professional		$207.14	$266.45	$321.95
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 $314.89 / $314.89 / $314.89	Professional		$314.89	$314.89	$314.89
United Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $120.85 / $251.78	Professional		$89.98	$120.85	$251.78