Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.84 / $25.87	Facility		$9.77	$15.84	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.01	Professional		$9.77	$9.77	$12.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $49.07 / $167.50	Facility		$23.79	$49.07	$167.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.33 / $18.63	Professional		$8.32	$11.33	$18.63
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 $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.13	Professional		$9.77	$9.77	$12.13