Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $1,197.00	Facility		$75.79	$75.79	$1,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $83.37	Professional		$75.79	$75.79	$83.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $80.94 / $84.99	Professional		$80.94	$80.94	$84.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $100.10	Professional		$75.79	$75.79	$100.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $106.11 / $673.33	Professional		$68.20	$106.11	$673.33
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 $98.53 / $98.53 / $98.53	Professional		$98.53	$98.53	$98.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $100.10 / $107.25	Professional		$97.24	$100.10	$107.25
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $101.33	Professional		$75.79	$75.79	$101.33