Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $112.20 / $389.05	Facility		$63.10	$112.20	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $30.20	Professional		$28.18	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.10 / $158.49	Professional		$0.87	$1.10	$158.49
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.19 / $0.26	Facility		$0.19	$0.19	$0.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.22 / $0.37	Professional		$0.15	$0.22	$0.37