Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $446.68	Facility		$154.88	$257.04	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $173.78	Professional		$100.00	$123.03	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $204.17 / $245.47	Facility		$181.97	$204.17	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $323.59 / $691.83	Facility		$97.72	$323.59	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $199.53	Professional		$158.49	$181.97	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $346.74	Professional		$151.36	$208.93	$346.74
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 $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $151.36	Professional		$63.10	$89.13	$151.36