Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $53.87 / $93.73	Facility		$35.54	$53.87	$93.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $43.52	Professional		$35.54	$35.90	$43.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $116.22 / $488.59	Facility		$69.39	$116.22	$488.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Facility		$35.54	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $42.56 / $67.72	Professional		$31.96	$42.56	$67.72
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 $46.22 / $46.22 / $46.22	Professional		$46.22	$46.22	$46.22
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $37.90	Professional		$35.54	$35.54	$37.90