Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $117.49	Facility		$38.90	$67.61	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $83.18	Professional		$28.84	$35.48	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $138.04 / $489.78	Facility		$47.86	$138.04	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $26.92 / $30.20	Professional		$3.47	$26.92	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $81.28 / $181.97	Facility		$25.70	$81.28	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $47.86 / $66.07	Professional		$19.05	$47.86	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $218.78	Professional		$43.65	$100.00	$218.78
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 $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $79.43	Facility		$38.90	$38.90	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $38.90	Professional		$16.60	$23.44	$38.90