Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $193.00	Facility		$15.00	$15.00	$193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $15.00 / $639.60	Professional		$13.72	$15.00	$639.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $59.16 / $59.16	Facility		$59.16	$59.16	$59.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $23.23 / $23.23	Professional		$16.26	$23.23	$23.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $36.71 / $52.34	Professional		$10.00	$36.71	$52.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.09 / $66.78	Professional		$21.88	$41.09	$66.78
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 Facility Modifier Low / Median / High Price $138.68 / $242.75 / $242.75	Facility		$138.68	$242.75	$242.75
United Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $41.96 / $74.92	Professional		$30.72	$41.96	$74.92