Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $27.13 / $49.45	Facility		$16.54	$27.13	$49.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $17.04 / $21.86	Professional		$16.54	$17.04	$21.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $39.61 / $185.72	Facility		$22.40	$39.61	$185.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Professional		$21.00	$21.00	$21.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Facility		$16.54	$16.54	$16.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $23.16 / $40.67	Professional		$14.57	$23.16	$40.67
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 $21.50 / $21.50 / $21.50	Professional		$21.50	$21.50	$21.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $30.07	Professional		$16.54	$16.54	$30.07