Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $53.70 / $194.98	Facility		$20.42	$53.70	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $104.71	Professional		$19.95	$25.12	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $199.53 / $512.86	Facility		$70.79	$199.53	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $95.50 / $181.97	Professional		$25.12	$95.50	$181.97
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 $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $54.95 / $54.95	Facility		$33.11	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $33.11	Professional		$20.42	$20.42	$33.11