Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $2.75 / $26.80	Facility		$1.64	$2.75	$26.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.63 / $2.15	Professional		$1.57	$1.63	$2.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $14.19 / $38.15	Facility		$5.25	$14.19	$38.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Facility		$1.57	$1.57	$1.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Professional		$1.57	$1.57	$1.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.97 / $19.04	Professional		$1.57	$2.97	$19.04
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 $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $2.83	Professional		$1.57	$1.57	$2.83