Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.16 / $951.59	Facility		$3.89	$6.16	$951.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.66 / $5.01	Professional		$3.52	$3.66	$5.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $75.11 / $161.16	Facility		$22.90	$75.11	$161.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Facility		$3.52	$3.52	$3.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $5.28 / $40.49	Professional		$3.52	$5.28	$40.49
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 $4.58 / $4.58 / $4.58	Professional		$4.58	$4.58	$4.58
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $6.34	Professional		$3.52	$3.52	$6.34