Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $56.35 / $56.35	Facility		$56.35	$56.35	$56.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $56.35 / $93.39	Professional		$49.61	$56.35	$93.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.74 / $231.34 / $979.58	Facility		$136.74	$231.34	$979.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $86.53 / $86.53	Professional		$84.50	$86.53	$86.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $124.62	Facility		$90.38	$90.38	$124.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $132.00	Professional		$76.81	$90.38	$132.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $113.85 / $141.16	Professional		$100.98	$113.85	$141.16
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 $148.01 / $148.01 / $148.01	Professional		$148.01	$148.01	$148.01
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $56.80 / $97.50	Professional		$42.28	$56.80	$97.50