Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $68.81 / $138.69	Facility		$41.40	$68.81	$138.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $42.48 / $50.18	Professional		$41.40	$42.48	$50.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.22 / $182.17 / $902.77	Facility		$119.22	$182.17	$902.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Facility		$42.48	$42.48	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $63.72 / $120.17	Professional		$42.48	$63.72	$120.17
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 $55.22 / $55.22 / $55.22	Professional		$55.22	$55.22	$55.22
United Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $42.45 / $42.45	Facility		$42.45	$42.45	$42.45
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $47.84	Professional		$42.48	$42.48	$47.84