Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $56.23	Facility		$15.14	$25.70	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $21.38	Professional		$15.14	$15.14	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $61.66 / $181.97	Facility		$26.30	$61.66	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $100.00	Professional		$12.59	$16.22	$100.00
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 $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $24.55	Facility		$15.14	$15.14	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Professional		$15.14	$15.14	$15.85