Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $18.21 / $31.69	Facility		$12.14	$18.21	$31.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $14.71	Professional		$12.14	$12.14	$14.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $48.39 / $239.84	Facility		$31.67	$48.39	$239.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Facility		$12.14	$12.14	$12.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $12.14 / $29.42	Professional		$10.32	$12.14	$29.42
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 $15.78 / $15.78 / $15.78	Professional		$15.78	$15.78	$15.78
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.88	Professional		$12.14	$12.14	$12.88