Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $338.28 / $1,680.00	Facility		$3.62	$338.28	$1,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.79	Professional		$2.59	$2.59	$2.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $138.82 / $302.79	Facility		$11.52	$138.82	$302.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.63 / $5.63	Professional		$5.63	$5.63	$5.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $45.15 / $55.50	Professional		$32.24	$45.15	$55.50
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 $2.70 / $2.70 / $2.92	Professional		$2.70	$2.70	$2.92