Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $64.52 / $140.13	Facility		$39.83	$64.52	$140.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $48.26	Professional		$39.83	$39.83	$48.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.11 / $218.31 / $775.33	Facility		$110.11	$218.31	$775.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Facility		$39.83	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $59.75 / $120.00	Professional		$39.83	$59.75	$120.00
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 $51.78 / $51.78 / $51.78	Professional		$51.78	$51.78	$51.78
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $41.04	Professional		$39.83	$39.83	$41.04