Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $165.96 / $46,773.51	Facility		$95.50	$165.96	$46,773.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $120.23	Professional		$95.50	$100.00	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $380.19	Facility		$177.83	$218.78	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $346.74	Professional		$120.23	$169.82	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $199.53	Facility		$109.65	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $125.89	Professional		$109.65	$109.65	$125.89