Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $331.13	Facility		$109.65	$190.55	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $138.04	Professional		$58.88	$93.33	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $380.19 / $1,380.38	Facility		$134.90	$380.19	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $85.11 / $85.11	Professional		$3.47	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $223.87 / $501.19	Facility		$70.79	$223.87	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $125.89 / $165.96	Professional		$56.23	$125.89	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $467.74	Professional		$112.20	$190.55	$467.74
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 $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $109.65 / $218.78	Facility		$63.10	$109.65	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $109.65	Professional		$31.62	$45.71	$109.65