Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.91 / $157.51 / $249.83	Facility		$77.91	$157.51	$249.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $156.97 / $196.92	Professional		$110.42	$156.97	$196.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $340.74 / $1,422.46	Facility		$121.60	$340.74	$1,422.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $122.80 / $122.80	Professional		$122.80	$122.80	$122.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $24.90 / $160.97	Professional		$14.82	$24.90	$160.97
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $172.37 / $184.68	Professional		$149.63	$172.37	$184.68