Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $10.10 / $20.17	Facility		$5.77	$10.10	$20.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.77 / $7.30	Professional		$5.76	$5.77	$7.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $39.21 / $144.99	Facility		$20.59	$39.21	$144.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Facility		$5.77	$5.77	$5.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $17.05 / $125.00	Professional		$5.77	$17.05	$125.00
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 $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $7.71	Professional		$5.77	$5.77	$7.71