Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $151.36 / $263.03	Facility		$87.10	$151.36	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $169.82	Professional		$64.57	$77.62	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $891.25	Facility		$117.49	$234.42	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $60.26 / $67.61	Professional		$3.47	$60.26	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $194.98 / $398.11	Facility		$56.23	$194.98	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $147.91	Professional		$56.23	$100.00	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $302.00	Professional		$95.50	$162.18	$302.00
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 $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $173.78	Facility		$56.23	$87.10	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $87.10	Professional		$36.31	$63.10	$87.10