Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $363.08	Facility		$120.23	$204.17	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $229.09	Professional		$89.13	$104.71	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $501.19 / $1,548.82	Facility		$154.88	$501.19	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $85.11 / $93.33	Professional		$3.47	$85.11	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $281.84 / $562.34	Facility		$79.43	$281.84	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $223.87	Professional		$63.10	$147.91	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $478.63	Professional		$134.90	$223.87	$478.63
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 $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $245.47	Facility		$123.03	$123.03	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $144.54	Professional		$51.29	$83.18	$144.54