Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $61.66	Facility		$20.42	$35.48	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $38.90	Professional		$15.14	$18.20	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $54.95 / $208.93	Facility		$27.54	$54.95	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $13.18 / $15.49	Professional		$3.47	$13.18	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $45.71 / $93.33	Facility		$13.18	$45.71	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $30.90	Professional		$13.18	$23.99	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $269.15	Professional		$22.39	$40.74	$269.15
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 $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.42 / $40.74	Facility		$13.18	$20.42	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.45 / $20.42	Professional		$8.51	$14.45	$20.42