Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $146.96 / $565.36	Facility		$5.47	$146.96	$565.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.05 / $134.63	Professional		$4.86	$5.05	$134.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $18.05 / $62.55	Facility		$11.13	$18.05	$62.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Facility		$4.86	$4.86	$4.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $7.29 / $37.40	Professional		$4.86	$7.29	$37.40
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 $6.32 / $6.32 / $6.32	Professional		$6.32	$6.32	$6.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $6.50	Professional		$4.86	$4.86	$6.50