Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.50	Professional		$3.44	$3.44	$3.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $116.41 / $147.16	Facility		$97.28	$116.41	$147.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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
United Facility/Professional Facility Modifier Low / Median / High Price $119.59 / $179.48 / $278.22	Facility		$119.59	$179.48	$278.22