Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $55.05 / $91.05	Facility		$27.18	$55.05	$91.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $27.18 / $33.84	Professional		$27.18	$27.18	$33.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $162.66 / $583.60	Facility		$82.88	$162.66	$583.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $56.30 / $125.00	Professional		$41.20	$56.30	$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
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $30.58	Professional		$28.32	$28.32	$30.58