Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $170.65 / $702.46	Facility		$18.94	$170.65	$702.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $63.61	Professional		$18.59	$18.59	$63.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.57 / $127.68 / $361.63	Facility		$51.57	$127.68	$361.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Facility		$18.59	$18.59	$18.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $27.89 / $66.91	Professional		$18.59	$27.89	$66.91
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 $24.17 / $24.17 / $24.17	Professional		$24.17	$24.17	$24.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $24.85	Professional		$18.59	$18.59	$24.85