Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.02 / $57.19 / $259.64	Facility		$28.02	$57.19	$259.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $28.02 / $44.40	Professional		$25.37	$28.02	$44.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.42 / $199.85 / $530.98	Facility		$71.42	$199.85	$530.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Facility		$25.37	$25.37	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $38.06 / $182.85	Professional		$25.37	$38.06	$182.85
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 $32.97 / $32.97 / $32.97	Professional		$32.97	$32.97	$32.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $45.67	Professional		$25.37	$25.37	$45.67