Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $44.94 / $74.50	Professional		$39.54	$44.94	$74.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.12 / $182.92 / $781.17	Facility		$108.12	$182.92	$781.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $69.01 / $69.01	Professional		$67.39	$69.01	$69.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $99.37	Facility		$50.66	$50.66	$99.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $50.66 / $105.38	Professional		$36.97	$50.66	$105.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $103.77 / $131.66	Professional		$86.26	$103.77	$131.66
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 $118.04 / $118.04 / $118.04	Professional		$118.04	$118.04	$118.04
United Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $45.29 / $80.20	Professional		$34.57	$45.29	$80.20