Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $726.30 / $19,595.99	Facility		$48.47	$726.30	$19,595.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $49.45 / $5,992.74	Professional		$47.55	$49.45	$5,992.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $111.82 / $533.28	Facility		$73.37	$111.82	$533.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $25.62 / $25.62	Professional		$20.94	$25.62	$25.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Facility		$47.55	$47.55	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $52.36	Professional		$47.55	$47.55	$52.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $108.81 / $272.02	Professional		$47.55	$108.81	$272.02
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 $61.82 / $61.82 / $61.82	Professional		$61.82	$61.82	$61.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $39.07 / $41.87	Professional		$27.91	$39.07	$41.87
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $50.40 / $57.54	Professional		$47.55	$50.40	$57.54