Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $426.58 / $630.96	Facility		$44.67	$426.58	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $724.44	Professional		$34.67	$52.48	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $416.87	Professional		$275.42	$354.81	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $602.56	Professional		$269.15	$371.54	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $575.44	Professional		$199.53	$371.54	$575.44
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 $269.15 / $316.23 / $316.23	Professional		$269.15	$316.23	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $77.62	Professional		$39.81	$54.95	$77.62