Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.09 / $4.07	Facility		$3.02	$3.09	$4.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.98	Professional		$3.02	$3.02	$3.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $57.54 / $275.42	Facility		$37.15	$57.54	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Facility		$3.09	$3.09	$3.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $28.84 / $100.00	Professional		$3.63	$28.84	$100.00
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 $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $13.80 / $13.80	Facility		$5.62	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $8.51	Professional		$3.09	$3.09	$8.51