Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $67.63 / $112.99	Facility		$43.19	$67.63	$112.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.29 / $52.46	Professional		$43.19	$43.29	$52.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.36 / $239.81 / $862.09	Facility		$104.36	$239.81	$862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Facility		$43.19	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $52.02 / $104.85	Professional		$41.99	$52.02	$104.85
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 $56.15 / $56.15 / $56.15	Professional		$56.15	$56.15	$56.15
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $46.82	Professional		$43.19	$43.19	$46.82