Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $119.09 / $207.21	Facility		$79.26	$119.09	$207.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.39 / $96.22	Professional		$79.26	$79.39	$96.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.06 / $301.01 / $1,491.68	Facility		$193.06	$301.01	$1,491.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Facility		$79.26	$79.26	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $96.04 / $258.54	Professional		$77.75	$96.04	$258.54
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 $103.04 / $103.04 / $103.04	Professional		$103.04	$103.04	$103.04
United Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $84.09	Professional		$79.26	$79.26	$84.09