Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $37.59 / $75.78	Facility		$22.62	$37.59	$75.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $22.13 / $27.41	Professional		$21.48	$22.13	$27.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $89.31 / $501.49	Facility		$49.60	$89.31	$501.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $38.88 / $147.24	Professional		$21.48	$38.88	$147.24
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 $27.92 / $27.92 / $27.92	Professional		$27.92	$27.92	$27.92
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $38.65	Professional		$21.48	$21.48	$38.65