Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $36.31	Facility		$18.20	$18.20	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $30.90	Professional		$15.14	$18.20	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $245.47	Facility		$41.69	$67.61	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $38.90	Facility		$24.55	$24.55	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $38.90	Professional		$17.78	$17.78	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $54.95	Professional		$34.67	$44.67	$54.95
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 $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $51.29	Facility		$13.18	$28.18	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.38 / $26.92	Professional		$13.18	$17.38	$26.92