Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $77.58 / $6,755.45	Facility		$55.09	$77.58	$6,755.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.65 / $74.37	Professional		$55.09	$55.65	$74.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $196.72 / $829.63	Facility		$85.61	$196.72	$829.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $62.02 / $62.02	Professional		$54.91	$62.02	$62.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Facility		$55.65	$55.65	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $67.09	Professional		$55.65	$55.65	$67.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $72.05 / $140.66	Professional		$51.46	$72.05	$140.66
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 $72.34 / $72.34 / $72.34	Professional		$72.34	$72.34	$72.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $72.59 / $77.78	Professional		$51.85	$72.59	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $63.69	Professional		$55.65	$58.99	$63.69