Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $15.77 / $30.22	Facility		$9.01	$15.77	$30.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.02 / $10.93	Professional		$9.01	$9.02	$10.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $55.86 / $159.77	Facility		$22.78	$55.86	$159.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $9.01 / $9.01	Facility		$9.01	$9.01	$9.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $9.01	Professional		$9.01	$9.01	$9.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $15.95 / $52.48	Professional		$9.01	$15.95	$52.48
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 $11.71 / $11.71 / $11.71	Professional		$11.71	$11.71	$11.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $12.05	Professional		$9.01	$9.01	$12.05