Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $134.90 / $223.87	Facility		$66.07	$134.90	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $107.15	Professional		$48.98	$61.66	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $173.78 / $691.83	Facility		$89.13	$173.78	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $51.29 / $51.29	Professional		$3.47	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $154.88 / $309.03	Facility		$43.65	$154.88	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $120.23	Professional		$43.65	$77.62	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $446.68	Professional		$74.13	$125.89	$446.68
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 $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.07 / $134.90	Facility		$43.65	$66.07	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $66.07	Professional		$28.18	$47.86	$66.07