Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $34.72 / $64.04	Facility		$17.23	$34.72	$64.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $19.84 / $22.04	Professional		$17.23	$19.84	$22.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $105.00 / $309.02	Facility		$65.94	$105.00	$309.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Facility		$19.84	$19.84	$19.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $19.84	Professional		$19.84	$19.84	$19.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $35.04 / $65.65	Professional		$19.84	$35.04	$65.65
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 $25.79 / $25.79 / $25.79	Professional		$25.79	$25.79	$25.79
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $21.75	Professional		$19.84	$19.84	$21.75