Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $60.26	Professional		$30.90	$50.12	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $53.70 / $64.57	Facility		$47.86	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $104.71	Facility		$50.12	$79.43	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$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 $30.90 / $30.90 / $100.00	Facility		$30.90	$30.90	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $112.20	Professional		$53.70	$74.13	$112.20