Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $64.84 / $112.32	Facility		$39.54	$64.84	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $48.02	Professional		$39.54	$39.54	$48.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $156.97 / $685.46	Facility		$91.20	$156.97	$685.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Facility		$39.54	$39.54	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $59.31 / $260.93	Professional		$38.78	$59.31	$260.93
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 $51.40 / $51.40 / $51.40	Professional		$51.40	$51.40	$51.40
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $52.86	Professional		$39.54	$39.54	$52.86