Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $128.82 / $8,912.51	Facility		$75.86	$128.82	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $147.91	Professional		$75.86	$75.86	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $331.13 / $977.24	Facility		$112.20	$331.13	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $91.20	Professional		$81.28	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $89.13	Professional		$75.86	$75.86	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $194.98	Professional		$74.13	$131.83	$194.98
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 $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $112.20	Professional		$75.86	$102.33	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Facility		$74.13	$74.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $85.11	Professional		$75.86	$79.43	$85.11