Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $23.47 / $23.47	Facility		$23.47	$23.47	$23.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $20.13 / $23.47	Professional		$15.24	$20.13	$23.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $50.94 / $275.52	Facility		$28.85	$50.94	$275.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $24.66 / $24.66	Professional		$19.73	$24.66	$24.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $34.52 / $66.01	Professional		$24.66	$34.52	$66.01
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 $32.06 / $32.06 / $32.06	Professional		$32.06	$32.06	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.89 / $34.54	Professional		$12.30	$19.89	$34.54