Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $19.96 / $41.37	Facility		$12.32	$19.96	$41.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.35 / $16.05	Professional		$12.32	$12.35	$16.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $51.64 / $255.93	Facility		$33.11	$51.64	$255.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Facility		$12.32	$12.32	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $16.02 / $37.65	Professional		$12.32	$16.02	$37.65
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 $16.02 / $16.02 / $16.02	Professional		$16.02	$16.02	$16.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $13.07	Professional		$12.32	$12.32	$13.07