Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $27.54 / $6,165.95	Facility		$15.49	$27.54	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $21.88	Professional		$15.14	$15.49	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $85.11 / $251.19	Facility		$37.15	$85.11	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $31.62 / $100.00	Professional		$15.49	$31.62	$100.00
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 $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $25.70	Facility		$15.49	$15.49	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $16.98	Professional		$15.49	$15.49	$16.98