Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $389.05	Facility		$128.82	$223.87	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $208.93	Professional		$74.13	$109.65	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $1,202.26	Facility		$147.91	$218.78	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $100.00 / $100.00	Professional		$3.47	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $263.03 / $588.84	Facility		$83.18	$263.03	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $147.91 / $194.98	Professional		$51.29	$147.91	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $457.09	Professional		$128.82	$199.53	$457.09
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 $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $257.04	Facility		$64.57	$128.82	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $109.65	Professional		$47.86	$66.07	$109.65