Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Facility		$14.57	$14.57	$14.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $14.57 / $22.67	Professional		$11.39	$14.57	$22.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $56.49 / $243.83	Facility		$33.39	$56.49	$243.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $21.54 / $21.54	Professional		$18.27	$21.54	$21.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $29.93	Facility		$15.80	$15.80	$29.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.80 / $33.00	Professional		$11.53	$15.80	$33.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $33.39 / $41.10	Professional		$26.44	$33.39	$41.10
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 $36.84 / $36.84 / $36.84	Professional		$36.84	$36.84	$36.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $14.14 / $24.28	Professional		$10.51	$14.14	$24.28