Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $21.12 / $3,598.78	Facility		$12.00	$21.12	$3,598.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.07 / $16.57	Professional		$12.00	$12.07	$16.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $42.78 / $212.01	Facility		$27.44	$42.78	$212.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Facility		$12.07	$12.07	$12.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.02 / $32.70	Professional		$12.07	$15.02	$32.70
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 $15.69 / $15.69 / $15.69	Professional		$15.69	$15.69	$15.69
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $13.23	Professional		$12.07	$12.07	$13.23