Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $99.79 / $171.56	Facility		$65.63	$99.79	$171.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.73 / $79.66	Professional		$65.63	$65.73	$79.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.71 / $323.35 / $1,181.29	Facility		$140.71	$323.35	$1,181.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Facility		$65.63	$65.63	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $76.76 / $2,896.41	Professional		$55.79	$76.76	$2,896.41
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 $85.32 / $85.32 / $85.32	Professional		$85.32	$85.32	$85.32
United Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $105.40 / $105.40	Facility		$63.88	$105.40	$105.40
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $69.08	Professional		$65.63	$65.63	$69.08