Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $48.74 / $3,538.35	Facility		$27.85	$48.74	$3,538.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.12 / $43.16	Professional		$27.85	$28.12	$43.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $129.61 / $642.29	Facility		$83.12	$129.61	$642.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Facility		$27.85	$27.85	$27.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Professional		$27.85	$27.85	$27.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $80.28 / $192.23	Professional		$27.85	$80.28	$192.23
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 $36.21 / $36.21 / $36.21	Professional		$36.21	$36.21	$36.21
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $29.45 / $37.22	Professional		$27.85	$29.45	$37.22