Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $549.54	Facility		$190.55	$323.59	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $204.17	Professional		$123.03	$151.36	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $251.19 / $302.00	Facility		$223.87	$251.19	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $389.05 / $851.14	Facility		$120.23	$389.05	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $269.15	Professional		$213.80	$223.87	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $346.74	Professional		$186.21	$257.04	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $371.54	Facility		$186.21	$186.21	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $186.21	Professional		$77.62	$112.20	$186.21