Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $52.48	Professional		$26.92	$42.66	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $190.55 / $234.42	Facility		$169.82	$190.55	$234.42
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 $12.88 / $18.20 / $81.28	Professional		$12.88	$18.20	$81.28
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 $104.71 / $107.15 / $354.81	Facility		$104.71	$107.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $97.72	Professional		$13.49	$21.88	$97.72