Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $2,989.00 / $7,407.00	Facility		$31.79	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $49.72 / $54.49	Professional		$31.79	$49.72	$54.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $53.32 / $68.79	Facility		$44.70	$53.32	$68.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.58 / $104.42	Facility		$50.12	$54.58	$104.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $61.82 / $61.82	Professional		$61.82	$61.82	$61.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$345.40
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $69.45 / $107.25	Professional		$48.72	$69.45	$107.25