Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $37.72	Facility		$37.72	$37.72	$37.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $37.72 / $62.51	Professional		$33.21	$37.72	$62.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.63 / $153.33 / $655.79	Facility		$90.63	$153.33	$655.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.93 / $107.85 / $107.85	Professional		$57.93	$107.85	$107.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $83.44	Facility		$43.76	$43.76	$83.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $93.81	Professional		$37.20	$37.20	$93.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $102.99 / $125.73	Professional		$76.22	$102.99	$125.73
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 $99.09 / $99.09 / $99.09	Professional		$99.09	$99.09	$99.09
United Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $38.02 / $65.26	Professional		$28.30	$38.02	$65.26