Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $6.25 / $44.39	Facility		$3.47	$6.25	$44.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.57 / $4.20	Professional		$3.47	$3.57	$4.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $68.25 / $173.52	Facility		$13.85	$68.25	$173.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $8.65 / $97.40	Professional		$3.57	$8.65	$97.40
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 $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $4.76	Professional		$3.57	$3.57	$4.76