Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $169.82 / $489.78	Facility		$18.62	$169.82	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $208.93	Professional		$14.13	$14.13	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $134.90 / $245.47	Facility		$56.23	$134.90	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $16.98	Professional		$14.79	$14.79	$16.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $43.65	Professional		$14.79	$19.95	$43.65
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 $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $24.55 / $24.55	Facility		$14.79	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $15.85	Professional		$14.79	$14.79	$15.85