Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $17.43 / $28.14	Facility		$10.76	$17.43	$28.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $13.07	Professional		$10.76	$10.76	$13.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $50.04 / $188.46	Facility		$26.76	$50.04	$188.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Facility		$10.76	$10.76	$10.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Professional		$10.76	$10.76	$10.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.57 / $30.68	Professional		$10.47	$14.57	$30.68
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 $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $13.04	Professional		$10.76	$10.76	$13.04