Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $175.88 / $305.87	Facility		$117.19	$175.88	$305.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.36 / $142.03	Professional		$117.19	$117.36	$142.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.33 / $474.52 / $2,351.48	Facility		$304.33	$474.52	$2,351.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $164.30 / $286.63	Professional		$103.93	$164.30	$286.63
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 $152.57 / $152.57 / $152.57	Professional		$152.57	$152.57	$152.57
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $123.26	Professional		$117.36	$117.36	$123.26