Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.16 / $183.39 / $4,368.72	Facility		$116.16	$183.39	$4,368.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $100.12 / $219.19	Professional		$99.12	$100.12	$219.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.05 / $573.07 / $2,839.87	Facility		$375.05	$573.07	$2,839.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $237.69 / $237.69	Professional		$194.30	$237.69	$237.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Facility		$99.13	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $198.31 / $863.25	Professional		$99.13	$198.31	$863.25
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 $128.87 / $128.87 / $128.87	Professional		$128.87	$128.87	$128.87
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $104.83 / $132.53	Professional		$99.13	$104.83	$132.53