Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $47.25 / $4,448.03	Facility		$27.00	$47.25	$4,448.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.26 / $40.09	Professional		$27.00	$27.26	$40.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.05 / $327.44 / $829.74	Facility		$115.05	$327.44	$829.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Facility		$27.00	$27.00	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $86.55 / $168.26	Professional		$27.00	$86.55	$168.26
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 $35.10 / $35.10 / $35.10	Professional		$35.10	$35.10	$35.10
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $48.60	Professional		$27.00	$27.00	$48.60