Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.91 / $76.65 / $122.44	Facility		$46.91	$76.65	$122.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $49.28 / $56.86	Professional		$46.91	$49.28	$56.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $37.49 / $325.39	Facility		$12.80	$37.49	$325.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Facility		$49.28	$49.28	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $49.28 / $73.92	Professional		$10.13	$49.28	$73.92
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 $64.06 / $64.06 / $64.06	Professional		$64.06	$64.06	$64.06
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $53.06	Professional		$49.28	$49.28	$53.06