Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $69.18 / $117.49	Facility		$38.90	$69.18	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $75.86	Professional		$25.70	$33.11	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $380.19	Facility		$51.29	$93.33	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $26.92 / $30.20	Professional		$3.47	$26.92	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $83.18 / $181.97	Facility		$25.70	$83.18	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $47.86 / $72.44	Professional		$20.42	$47.86	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $269.15	Professional		$43.65	$72.44	$269.15
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 $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $77.62	Facility		$38.90	$38.90	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $41.69	Professional		$16.60	$26.30	$41.69