Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $40.36 / $99.18	Facility		$2.37	$40.36	$99.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.45 / $1.94	Professional		$1.39	$1.45	$1.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $14.93 / $42.09	Facility		$6.00	$14.93	$42.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Facility		$1.39	$1.39	$1.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Professional		$1.39	$1.39	$1.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.81 / $48.82	Professional		$1.39	$2.81	$48.82
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 $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
United Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $2.50	Professional		$1.39	$1.39	$2.50