Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $321.02	Facility		$158.91	$158.91	$321.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $165.27	Professional		$158.91	$158.91	$165.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.35 / $778.73 / $2,718.39	Facility		$327.35	$778.73	$2,718.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $158.91 / $158.91	Facility		$152.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $158.91 / $158.91	Professional		$151.58	$158.91	$158.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $158.91 / $211.22	Professional		$122.72	$158.91	$211.22
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 $206.60 / $206.60 / $206.60	Professional		$206.60	$206.60	$206.60
United Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $237.49	Professional		$158.91	$158.91	$237.49