Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $118.38 / $5,227.62	Facility		$75.93	$118.38	$5,227.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $92.03	Professional		$75.22	$75.93	$92.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $214.24 / $1,028.47	Facility		$87.45	$214.24	$1,028.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $96.00 / $103.68	Professional		$91.80	$96.00	$103.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Facility		$75.22	$75.22	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $98.92	Professional		$75.22	$75.22	$98.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $112.83 / $235.63	Professional		$75.22	$112.83	$235.63
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 $97.79 / $97.79 / $97.79	Professional		$97.79	$97.79	$97.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $107.00 / $114.65	Professional		$76.43	$107.00	$114.65
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $79.73 / $95.76	Professional		$75.22	$79.73	$95.76