Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $61.66 / $173.78	Facility		$35.48	$61.66	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $72.44	Professional		$25.70	$30.20	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $363.08	Facility		$47.86	$93.33	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $23.99 / $35.48	Professional		$3.47	$23.99	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $81.28 / $162.18	Facility		$22.91	$81.28	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $47.86 / $72.44	Professional		$18.20	$47.86	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $263.03	Professional		$38.90	$69.18	$263.03
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 $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $70.79	Facility		$35.48	$35.48	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $41.69	Professional		$14.79	$25.12	$41.69