Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $23.40 / $39.22	Facility		$15.03	$23.40	$39.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.04 / $18.22	Professional		$15.03	$15.04	$18.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $45.28 / $193.13	Facility		$25.60	$45.28	$193.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Facility		$15.04	$15.04	$15.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $21.97 / $120.24	Professional		$15.04	$21.97	$120.24
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 $19.55 / $19.55 / $19.55	Professional		$19.55	$19.55	$19.55
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $16.20	Professional		$15.04	$15.04	$16.20