Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,842.00 / $5,430.00	Facility		$630.00	$1,842.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $7.03 / $7.71	Professional		$4.73	$7.03	$7.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $8.89 / $90.09	Facility		$3.30	$8.89	$90.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $7.00 / $7.00	Professional		$6.27	$7.00	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $19.28 / $41.69	Facility		$2.93	$19.28	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $9.38 / $11.73	Professional		$1.58	$9.38	$11.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $11.96 / $18.34	Professional		$6.15	$11.96	$18.34
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $6.06 / $9.09	Professional		$4.55	$6.06	$9.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.80 / $6.30	Professional		$1.26	$1.80	$6.30