Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $117.42 / $201.68	Facility		$77.27	$117.42	$201.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.39 / $93.65	Professional		$77.27	$77.39	$93.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.97 / $406.67 / $1,379.89	Facility		$176.97	$406.67	$1,379.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Facility		$77.39	$77.39	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $85.80 / $178.30	Professional		$65.78	$85.80	$178.30
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 $100.61 / $100.61 / $100.61	Professional		$100.61	$100.61	$100.61
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $86.68 / $87.55	Professional		$77.39	$86.68	$87.55