Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $37.67 / $235.20	Facility		$37.67	$37.67	$235.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $31.70 / $37.67	Professional		$25.89	$31.70	$37.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $836.40 / $1,719.60	Facility		$49.88	$836.40	$1,719.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $120.00 / $120.00	Professional		$30.23	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $56.69 / $345.40	Professional		$37.79	$56.69	$345.40
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 $49.13 / $49.13 / $49.13	Professional		$49.13	$49.13	$49.13
United Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $54.89 / $102.00	Facility		$37.79	$54.89	$102.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $36.13 / $61.15	Professional		$19.60	$36.13	$61.15