Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $34.00 / $49.17	Facility		$18.84	$34.00	$49.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $20.99 / $22.84	Professional		$18.84	$20.99	$22.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.36 / $92.55 / $458.67	Facility		$59.36	$92.55	$458.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Facility		$20.99	$20.99	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $27.29 / $66.25	Professional		$18.23	$27.29	$66.25
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 $27.29 / $27.29 / $27.29	Professional		$27.29	$27.29	$27.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $21.62	Professional		$20.99	$20.99	$21.62