Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Facility		$18.11	$18.11	$18.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $18.11 / $28.18	Professional		$14.16	$18.11	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $69.94 / $303.12	Facility		$41.34	$69.94	$303.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $26.77 / $26.77	Professional		$21.16	$26.77	$26.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $38.56	Facility		$24.27	$24.27	$38.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $24.27 / $40.88	Professional		$17.72	$24.27	$40.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $44.52 / $53.40	Professional		$35.22	$44.52	$53.40
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 $45.80 / $45.80 / $45.80	Professional		$45.80	$45.80	$45.80
United Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $17.57 / $36.61	Professional		$13.09	$17.57	$36.61