Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $22,387.21	Facility		$93.33	$165.96	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $10,232.93	Professional		$93.33	$93.33	$10,232.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $436.52 / $1,288.25	Facility		$141.25	$436.52	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $109.65	Professional		$97.72	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $114.82	Professional		$93.33	$93.33	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $223.87	Professional		$91.20	$162.18	$223.87
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 $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $138.04	Professional		$93.33	$128.82	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $147.91	Facility		$91.20	$91.20	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $104.71	Professional		$93.33	$100.00	$104.71