Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $12.69 / $27.13	Facility		$7.25	$12.69	$27.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.54 / $9.94	Professional		$7.25	$7.54	$9.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $34.84 / $133.60	Facility		$20.80	$34.84	$133.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Facility		$7.25	$7.25	$7.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Professional		$7.25	$7.25	$7.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.96 / $32.79	Professional		$7.25	$10.96	$32.79
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 $9.43 / $9.43 / $9.43	Professional		$9.43	$9.43	$9.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $13.05	Professional		$7.25	$7.25	$13.05