Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $193.00	Facility		$19.00	$19.00	$193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $19.30 / $30.73	Professional		$17.97	$19.30	$30.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $70.66 / $70.66	Facility		$70.66	$70.66	$70.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $34.67 / $34.67	Professional		$29.47	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.77 / $38.77 / $38.77	Facility		$38.77	$38.77	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $38.97 / $55.37	Professional		$20.00	$38.97	$55.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $41.19 / $92.46	Professional		$34.86	$41.19	$92.46
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 $31.67 / $43.52 / $77.73	Professional		$31.67	$43.52	$77.73