Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Facility		$26.79	$26.79	$26.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $26.79 / $41.70	Professional		$20.92	$26.79	$41.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $104.91 / $448.46	Facility		$62.01	$104.91	$448.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $39.61 / $67.76	Professional		$33.59	$39.61	$67.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $57.04	Facility		$36.33	$36.33	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $60.98	Professional		$26.52	$26.52	$60.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $68.88 / $82.77	Professional		$52.12	$68.88	$82.77
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 $67.76 / $67.76 / $67.76	Professional		$67.76	$67.76	$67.76
United Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $23.01 / $52.12	Facility		$15.72	$23.01	$52.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $26.00 / $49.63	Professional		$19.35	$26.00	$49.63