Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $7.70 / $16.47	Facility		$4.40	$7.70	$16.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.58 / $6.08	Professional		$4.40	$4.58	$6.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $81.48 / $183.38	Facility		$24.76	$81.48	$183.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Facility		$4.40	$4.40	$4.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $4.40	Professional		$4.40	$4.40	$4.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $10.66 / $57.50	Professional		$4.40	$10.66	$57.50
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 $5.72 / $5.72 / $5.72	Professional		$5.72	$5.72	$5.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $5.88	Professional		$4.40	$4.40	$5.88