Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $98.16 / $819.94	Facility		$30.01	$98.16	$819.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $30.01 / $88.40	Professional		$29.30	$30.01	$88.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $80.20 / $361.63	Facility		$51.36	$80.20	$361.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Facility		$30.01	$30.01	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $31.12 / $57.53	Professional		$24.95	$31.12	$57.53
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 $39.01 / $39.01 / $39.01	Professional		$39.01	$39.01	$39.01
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $33.25	Professional		$30.01	$30.01	$33.25