Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $741.31	Facility		$199.53	$398.11	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $223.87	Professional		$131.83	$165.96	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $331.13 / $398.11	Facility		$295.12	$331.13	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $478.63 / $1,148.15	Facility		$162.18	$478.63	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $363.08	Professional		$234.42	$288.40	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $436.52	Professional		$199.53	$331.13	$436.52
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $389.05	Facility		$147.91	$245.47	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $199.53	Professional		$81.28	$117.49	$199.53