Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $38.07 / $54.55	Facility		$25.94	$38.07	$54.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $25.69 / $36.14	Professional		$22.25	$25.69	$36.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $99.16 / $327.00	Facility		$40.59	$99.16	$327.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $21.61 / $46.26	Professional		$4.34	$21.61	$46.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $208.24 / $432.55	Facility		$28.34	$208.24	$432.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $33.47 / $51.03	Professional		$23.52	$33.47	$51.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $36.04 / $59.01	Professional		$24.74	$36.04	$59.01
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 $29.80 / $30.19 / $33.49	Professional		$29.80	$30.19	$33.49
United Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $29.24 / $48.19	Professional		$22.82	$29.24	$48.19