Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $43.65 / $75.86	Facility		$25.70	$43.65	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $30.20	Professional		$15.85	$19.95	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $40.74	Facility		$30.20	$33.88	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $57.54 / $117.49	Facility		$16.22	$57.54	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $120.23	Professional		$30.20	$30.20	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $120.23	Professional		$26.30	$35.48	$120.23
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $50.12	Facility		$25.12	$25.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $20.89	Professional		$10.47	$15.49	$20.89