Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $426.58	Facility		$144.54	$245.47	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $162.18	Professional		$95.50	$114.82	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $190.55 / $234.42	Facility		$169.82	$190.55	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $275.42 / $660.69	Facility		$93.33	$275.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $208.93	Professional		$165.96	$173.78	$208.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $346.74	Professional		$141.25	$199.53	$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
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $288.40	Facility		$141.25	$141.25	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $147.91	Professional		$60.26	$85.11	$147.91