Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $50.07 / $103.18	Facility		$28.61	$50.07	$103.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $29.47 / $37.33	Professional		$28.61	$29.47	$37.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $369.74 / $787.57	Facility		$124.66	$369.74	$787.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Facility		$28.61	$28.61	$28.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $42.92 / $269.94	Professional		$28.61	$42.92	$269.94
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 $37.19 / $37.19 / $37.19	Professional		$37.19	$37.19	$37.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $31.37	Professional		$28.61	$28.61	$31.37