Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $37.15 / $512.86	Facility		$21.38	$37.15	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $37.15	Professional		$20.89	$20.89	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $87.10 / $269.15	Facility		$53.70	$87.10	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $199.53	Professional		$18.20	$23.44	$199.53
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 $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $34.67	Facility		$21.38	$21.38	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $23.44	Professional		$21.38	$21.38	$23.44