Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $21.69 / $48.44	Facility		$14.46	$21.69	$48.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.22 / $17.52	Professional		$14.46	$16.22	$17.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.37 / $177.14 / $441.50	Facility		$90.37	$177.14	$441.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $16.22 / $16.82	Professional		$15.08	$16.22	$16.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $164.80 / $245.40	Professional		$16.22	$164.80	$245.40
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 $21.09 / $21.09 / $21.09	Professional		$21.09	$21.09	$21.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $16.22 / $30.14	Professional		$14.80	$16.22	$30.14