Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $193.00	Facility		$14.00	$14.00	$193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.00 / $19.12	Professional		$13.33	$14.00	$19.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.27 / $68.27 / $68.27	Facility		$68.27	$68.27	$68.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.55 / $29.55	Professional		$25.12	$29.55	$29.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $47.98 / $69.38	Professional		$10.00	$47.98	$69.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.54 / $50.41	Professional		$25.00	$39.54	$50.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $52.35 / $92.72	Professional		$37.85	$52.35	$92.72