Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $67.61 / $104.71	Facility		$39.81	$67.61	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $67.61	Professional		$38.90	$39.81	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $100.00 / $407.38	Facility		$40.74	$100.00	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $114.82	Professional		$31.62	$42.66	$114.82
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 $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $63.10	Facility		$39.81	$39.81	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $42.66	Professional		$39.81	$39.81	$42.66