Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $74.17 / $126.38	Facility		$48.42	$74.17	$126.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $49.03 / $58.69	Professional		$48.42	$49.03	$58.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $74.44 / $598.96	Facility		$25.60	$74.44	$598.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Facility		$49.03	$49.03	$49.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $49.03 / $74.17	Professional		$16.87	$49.03	$74.17
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 $63.74 / $63.74 / $63.74	Professional		$63.74	$63.74	$63.74
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $53.75	Professional		$49.03	$49.03	$53.75