Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $26.78 / $113.75	Facility		$15.30	$26.78	$113.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.76 / $20.52	Professional		$15.30	$15.76	$20.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $56.54 / $254.95	Facility		$26.81	$56.54	$254.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Facility		$15.30	$15.30	$15.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $18.36 / $31.71	Professional		$1.21	$18.36	$31.71
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 $19.89 / $19.89 / $19.89	Professional		$19.89	$19.89	$19.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $20.46	Professional		$15.30	$15.30	$20.46