Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.94 / $2,856.08	Facility		$1.13	$1.94	$2,856.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.14 / $1,518.68	Professional		$1.11	$1.14	$1,518.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $6.38 / $21.99	Facility		$3.12	$6.38	$21.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Facility		$1.11	$1.11	$1.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.11	Professional		$1.11	$1.11	$1.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.67 / $4.95	Professional		$1.11	$1.67	$4.95
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 $1.44 / $1.44 / $1.44	Professional		$1.44	$1.44	$1.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.22	Professional		$1.11	$1.11	$1.22