Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $89.13	Professional		$42.66	$70.79	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $141.25	Professional		$87.10	$89.13	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Facility		$28.84	$28.84	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $125.89	Professional		$30.90	$74.13	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $97.72 / $177.83	Professional		$30.20	$97.72	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $104.71	Professional		$36.31	$57.54	$104.71