Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $20.02 / $20.02	Facility		$20.02	$20.02	$20.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $20.02 / $28.84	Professional		$15.05	$20.02	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $100.00 / $330.48	Facility		$60.00	$100.00	$330.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $30.10 / $30.10	Professional		$30.10	$30.10	$30.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.13 / $27.38	Professional		$16.22	$19.13	$27.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $51.50 / $64.22	Professional		$39.60	$51.50	$64.22
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 $51.48 / $51.48 / $51.48	Professional		$51.48	$51.48	$51.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.37 / $34.06	Professional		$16.14	$19.37	$34.06