Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $169.02 / $878.45	Facility		$5.16	$169.02	$878.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $52.21 / $446.82	Professional		$3.02	$52.21	$446.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $181.12 / $768.47	Facility		$102.40	$181.12	$768.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $9.26 / $9.26	Professional		$8.21	$9.26	$9.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.53 / $133.40	Professional		$3.02	$4.53	$133.40
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 $3.93 / $3.93 / $3.93	Professional		$3.93	$3.93	$3.93
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.44	Professional		$3.02	$3.02	$5.44