Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.86 / $41.88	Facility		$4.79	$8.86	$41.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.80	Professional		$4.79	$4.79	$5.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $68.76 / $166.78	Facility		$21.45	$68.76	$166.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.67 / $62.45	Professional		$4.79	$8.67	$62.45
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 $6.23 / $6.23 / $6.23	Professional		$6.23	$6.23	$6.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.40	Professional		$4.79	$4.79	$6.40