Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $34.67	Facility		$18.20	$18.20	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $33.11	Professional		$15.14	$21.88	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $95.50 / $371.54	Facility		$38.90	$95.50	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $46.77	Professional		$26.30	$33.88	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $37.15	Professional		$13.80	$13.80	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $100.00	Professional		$28.84	$48.98	$100.00
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 $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.92 / $34.67	Facility		$17.38	$26.92	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.98 / $23.99	Professional		$11.22	$16.98	$23.99