Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $38.90	Facility		$15.14	$25.12	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $26.30	Professional		$15.14	$15.14	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $45.71 / $190.55	Facility		$26.30	$45.71	$190.55
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 $15.14 / $81.28 / $128.82	Professional		$15.14	$81.28	$128.82
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