Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $154.88	Facility		$58.88	$100.00	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $104.71	Professional		$58.88	$58.88	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $229.09 / $616.60	Facility		$141.25	$229.09	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $120.23 / $245.47	Professional		$50.12	$120.23	$245.47
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 $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $89.13	Facility		$58.88	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $61.66	Professional		$58.88	$58.88	$61.66