Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $53.70	Facility		$25.70	$25.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $46.77	Professional		$21.88	$26.92	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $363.08	Facility		$63.10	$100.00	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $66.07	Professional		$33.88	$39.81	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $57.54	Facility		$36.31	$36.31	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $57.54	Professional		$26.30	$26.30	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $85.11	Professional		$52.48	$69.18	$85.11
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 $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.69 / $75.86	Facility		$19.50	$41.69	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $39.81	Professional		$19.50	$25.70	$39.81