Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $121.40 / $5,439.33	Facility		$69.37	$121.40	$5,439.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $87.40	Professional		$69.37	$69.37	$87.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.26 / $127.36 / $607.41	Facility		$93.26	$127.36	$607.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Facility		$69.37	$69.37	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $87.26	Professional		$69.37	$69.37	$87.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $100.00 / $220.09	Professional		$65.90	$100.00	$220.09
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 $90.18 / $90.18 / $90.18	Professional		$90.18	$90.18	$90.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $103.47 / $110.87	Professional		$73.91	$103.47	$110.87
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $79.15	Professional		$69.37	$73.53	$79.15