Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $120.23	Facility		$39.81	$66.07	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $33.88 / $47.86	Professional		$8.91	$33.88	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $53.70 / $371.54	Facility		$19.95	$53.70	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $27.54 / $30.90	Professional		$3.47	$27.54	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $81.28 / $186.21	Facility		$23.99	$81.28	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $44.67 / $58.88	Professional		$7.24	$44.67	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $58.88 / $134.90	Professional		$24.55	$58.88	$134.90
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 $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $79.43	Facility		$17.38	$39.81	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.98 / $33.11	Professional		$7.94	$16.98	$33.11