Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $129.00	Facility		$4.54	$4.54	$129.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.80	Professional		$4.54	$4.54	$4.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.20 / $665.58 / $5,080.60	Facility		$227.20	$665.58	$5,080.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $380.00	Professional		$380.00	$380.00	$380.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.78 / $10.50	Professional		$6.77	$7.78	$10.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $156.00 / $166.87	Professional		$115.25	$156.00	$166.87
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.24 / $12.48	Professional		$5.01	$6.24	$12.48