Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $81.28 / $138.04	Facility		$41.69	$81.28	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $79.43	Professional		$21.88	$34.67	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $436.52	Facility		$56.23	$112.20	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $28.84 / $32.36	Professional		$3.47	$28.84	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $95.50 / $190.55	Facility		$26.92	$95.50	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $51.29 / $85.11	Professional		$21.38	$51.29	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $138.04	Professional		$45.71	$81.28	$138.04
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 $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $83.18	Facility		$41.69	$41.69	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $48.98	Professional		$17.38	$30.20	$48.98