Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $5,623.41	Facility		$54.95	$97.72	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $95.50	Professional		$54.95	$54.95	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $602.56	Facility		$83.18	$109.65	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $81.28	Professional		$66.07	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $72.44	Professional		$54.95	$54.95	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $245.47	Professional		$69.18	$165.96	$245.47
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 $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $83.18	Professional		$70.79	$75.86	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $123.03	Facility		$54.95	$69.18	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $77.62	Professional		$54.95	$58.88	$77.62