Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Facility		$43.45	$43.45	$43.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $43.45 / $72.04	Professional		$38.27	$43.45	$72.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $177.54 / $755.35	Facility		$104.94	$177.54	$755.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $66.72 / $66.72	Professional		$65.15	$66.72	$66.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $96.14	Facility		$69.70	$69.70	$96.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.70 / $101.63	Professional		$59.25	$69.70	$101.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $87.79 / $108.86	Professional		$76.59	$87.79	$108.86
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 $114.13 / $114.13 / $114.13	Professional		$114.13	$114.13	$114.13
United Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $43.79 / $75.18	Professional		$33.42	$43.79	$75.18