Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $72.44 / $112.20	Facility		$42.66	$72.44	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $60.26	Professional		$42.66	$42.66	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $181.97 / $870.96	Facility		$120.23	$181.97	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $123.03	Professional		$42.66	$70.79	$123.03
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 $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $70.79	Facility		$42.66	$42.66	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $46.77	Professional		$42.66	$42.66	$46.77