Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $16.52 / $26.88	Facility		$10.30	$16.52	$26.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.23	Professional		$10.30	$10.30	$13.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $36.79 / $181.03	Facility		$20.80	$36.79	$181.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Facility		$10.30	$10.30	$10.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $23.97 / $42.96	Professional		$10.30	$23.97	$42.96
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 $13.39 / $13.39 / $13.39	Professional		$13.39	$13.39	$13.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.93	Professional		$10.30	$10.30	$10.93