Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $105.92 / $2,125.19	Facility		$73.05	$105.92	$2,125.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $74.81 / $147.62	Professional		$72.06	$74.81	$147.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $201.95 / $948.35	Facility		$116.07	$201.95	$948.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $97.48 / $97.48	Professional		$86.31	$97.48	$97.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $73.20 / $73.20	Facility		$73.20	$73.20	$73.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $94.11	Professional		$73.20	$73.20	$94.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $101.15 / $194.75	Professional		$73.20	$101.15	$194.75
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 $95.16 / $95.16 / $95.16	Professional		$95.16	$95.16	$95.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $101.82 / $109.10	Professional		$72.73	$101.82	$109.10
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.59 / $86.07	Professional		$73.20	$77.59	$86.07