Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $112.20	Facility		$42.66	$70.79	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $72.44	Professional		$41.69	$42.66	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $794.33	Facility		$109.65	$165.96	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $138.04	Professional		$41.69	$74.13	$138.04
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 $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $67.61	Facility		$41.69	$41.69	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $44.67	Professional		$42.66	$42.66	$44.67