Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $188.96	Facility		$42.90	$42.90	$188.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $47.19	Professional		$42.90	$42.90	$47.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $198.18 / $708.47	Facility		$112.00	$198.18	$708.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $52.99 / $52.99	Professional		$52.99	$52.99	$52.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $23.71 / $118.43	Professional		$14.94	$23.71	$118.43
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $55.52 / $60.56	Professional		$50.47	$55.52	$60.56