Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $58.88 / $102.33	Facility		$33.88	$58.88	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $56.23	Professional		$25.12	$30.20	$56.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $77.62 / $354.81	Facility		$44.67	$77.62	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $23.44 / $26.30	Professional		$3.47	$23.44	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $75.86 / $154.88	Facility		$21.88	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $51.29	Professional		$22.39	$39.81	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $151.36	Professional		$35.48	$70.79	$151.36
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 $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $67.61	Facility		$21.88	$33.88	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $33.88	Professional		$14.13	$21.88	$33.88