Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $123.03 / $251.19	Facility		$70.79	$123.03	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $162.18	Professional		$57.54	$74.13	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $302.00 / $933.25	Facility		$93.33	$302.00	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $51.29 / $57.54	Professional		$3.47	$51.29	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $169.82 / $338.84	Facility		$47.86	$169.82	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $91.20 / $141.25	Professional		$38.02	$91.20	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $331.13	Professional		$81.28	$147.91	$331.13
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 $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $147.91	Facility		$74.13	$74.13	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $85.11	Professional		$30.90	$50.12	$85.11