Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $54.95	Professional		$20.89	$38.02	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $85.11 / $102.33	Facility		$75.86	$85.11	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $19.95	Professional		$16.60	$16.60	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $61.66	Professional		$15.49	$19.50	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $32.36	Professional		$12.59	$17.78	$32.36
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 $48.98 / $48.98 / $158.49	Facility		$48.98	$48.98	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.38 / $93.33	Professional		$13.49	$21.38	$93.33