Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $14.02 / $14.02	Facility		$14.02	$14.02	$14.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.02 / $14.90	Professional		$14.02	$14.02	$14.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $173.52 / $859.01	Facility		$62.40	$173.52	$859.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $79.00 / $79.00	Professional		$73.17	$79.00	$79.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Facility		$62.05	$62.05	$62.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $62.05	Professional		$62.05	$62.05	$62.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $122.53 / $150.61	Professional		$87.50	$122.53	$150.61
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $65.95	Professional		$62.05	$62.05	$65.95