Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $66.07	Facility		$21.88	$38.02	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $40.74	Professional		$14.13	$18.20	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.98 / $204.17	Facility		$27.54	$48.98	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $12.88 / $16.98	Professional		$3.47	$12.88	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $44.67 / $102.33	Facility		$14.13	$44.67	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $25.70 / $33.88	Professional		$11.48	$25.70	$33.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $151.36	Professional		$23.99	$38.02	$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 $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.88 / $43.65	Facility		$14.13	$21.88	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.49 / $21.88	Professional		$9.12	$13.49	$21.88