Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $24.52 / $85.83	Facility		$2.74	$24.52	$85.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.10 / $3.17	Professional		$2.04	$2.10	$3.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $17.21 / $50.33	Facility		$7.14	$17.21	$50.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $5.20 / $41.15	Professional		$2.04	$5.20	$41.15
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 $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.73	Professional		$2.04	$2.04	$2.73