Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $16.43 / $26.44	Facility		$10.13	$16.43	$26.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.14 / $21.41	Professional		$10.13	$10.14	$21.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $25.05 / $112.45	Facility		$12.80	$25.05	$112.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Facility		$10.14	$10.14	$10.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $12.72 / $25.87	Professional		$10.14	$12.72	$25.87
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 $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $12.07	Professional		$10.14	$10.14	$12.07