Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.61 / $8.85	Facility		$3.63	$5.61	$8.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.63 / $5.61	Professional		$3.62	$3.63	$5.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $57.30 / $283.95	Facility		$37.50	$57.30	$283.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.92 / $45.44	Professional		$3.63	$6.92	$45.44
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 $4.72 / $4.72 / $4.72	Professional		$4.72	$4.72	$4.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.84	Professional		$3.63	$3.63	$4.84