Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $323.59 / $575.44	Facility		$186.21	$323.59	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $309.03	Professional		$131.83	$162.18	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $676.08 / $2,398.83	Facility		$234.42	$676.08	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $131.83 / $147.91	Professional		$3.47	$131.83	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $407.38 / $891.25	Facility		$125.89	$407.38	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $223.87 / $323.59	Professional		$87.10	$223.87	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $724.44	Professional		$199.53	$346.74	$724.44
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 $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $389.05	Facility		$194.98	$194.98	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $199.53	Professional		$81.28	$114.82	$199.53