Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $60.26	Facility		$19.95	$35.48	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.38 / $40.74	Professional		$15.14	$17.38	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $208.93	Facility		$26.92	$52.48	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $12.88 / $15.49	Professional		$3.47	$12.88	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $45.71 / $93.33	Facility		$12.88	$45.71	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $24.55 / $41.69	Professional		$10.23	$24.55	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $186.21	Professional		$21.88	$38.90	$186.21
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 $19.95 / $19.95 / $39.81	Facility		$19.95	$19.95	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.45 / $23.44	Professional		$8.51	$14.45	$23.44