Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $32.36 / $85.11	Facility		$16.98	$32.36	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $29.51	Professional		$12.02	$15.14	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $173.78	Facility		$22.91	$45.71	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $11.75 / $13.18	Professional		$3.47	$11.75	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $38.02 / $79.43	Facility		$10.96	$38.02	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $25.70	Professional		$10.96	$19.95	$25.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $151.36	Professional		$18.62	$33.88	$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 $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.98 / $33.88	Facility		$12.30	$16.98	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.59 / $16.98	Professional		$7.08	$12.59	$16.98