Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.99 / $150.99 / $150.99	Facility		$150.99	$150.99	$150.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $150.99 / $250.28	Professional		$132.96	$150.99	$250.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.11 / $616.01 / $2,624.82	Facility		$364.11	$616.01	$2,624.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $333.89	Facility		$170.29	$170.29	$333.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $353.63	Professional		$144.75	$170.29	$353.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.56 / $427.10 / $515.88	Professional		$274.56	$427.10	$515.88
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 $396.59 / $396.59 / $396.59	Professional		$396.59	$396.59	$396.59
United Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $152.19 / $261.27	Professional		$113.30	$152.19	$261.27