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 $15.07 / $19.00 / $24.37	Professional		$15.07	$19.00	$24.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $23.11 / $23.11	Professional		$23.11	$23.11	$23.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $5.97 / $5.97	Facility		$5.97	$5.97	$5.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $9.94 / $14.42	Professional		$6.15	$9.94	$14.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $38.20 / $52.51	Professional		$20.71	$38.20	$52.51
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 $5.01 / $6.95 / $12.32	Professional		$5.01	$6.95	$12.32