Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $38.54 / $2,016.72	Facility		$18.95	$38.54	$2,016.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $22.02 / $27.74	Professional		$18.95	$22.02	$27.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.40 / $93.81 / $464.92	Facility		$61.40	$93.81	$464.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Facility		$22.02	$22.02	$22.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $33.03 / $91.09	Professional		$20.77	$33.03	$91.09
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 $28.63 / $28.63 / $28.63	Professional		$28.63	$28.63	$28.63
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $29.44	Professional		$22.02	$22.02	$29.44