Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $88.63 / $144.80	Facility		$54.71	$88.63	$144.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.48 / $67.25	Professional		$54.71	$55.48	$67.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.06 / $174.70 / $735.15	Facility		$100.06	$174.70	$735.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Facility		$54.71	$54.71	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $68.76 / $292.85	Professional		$54.71	$68.76	$292.85
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 $71.12 / $71.12 / $71.12	Professional		$71.12	$71.12	$71.12
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $58.83	Professional		$54.71	$54.71	$58.83