Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $31.62 / $47.86	Facility		$18.20	$31.62	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $25.70	Professional		$18.20	$18.20	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $79.43 / $234.42	Facility		$33.88	$79.43	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $100.00	Professional		$18.20	$30.90	$100.00
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 $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $28.84	Facility		$18.20	$18.20	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $20.89	Professional		$18.20	$20.42	$20.89