Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $124.27 / $4,636.10	Facility		$65.41	$124.27	$4,636.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $68.68	Professional		$65.41	$65.41	$68.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $128.53 / $540.86	Facility		$73.59	$128.53	$540.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $74.04 / $74.04	Professional		$74.04	$74.04	$74.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Facility		$65.40	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $77.13	Professional		$65.40	$65.40	$77.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $81.11 / $155.74	Professional		$55.60	$81.11	$155.74
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 $85.03 / $85.03 / $85.03	Professional		$85.03	$85.03	$85.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $91.57 / $98.12	Professional		$65.41	$91.57	$98.12
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $71.70	Professional		$65.41	$65.41	$71.70