Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $34.88 / $40.11	Professional		$18.39	$34.88	$40.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $158.10 / $158.10	Facility		$158.10	$158.10	$158.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $93.00	Professional		$93.00	$93.00	$93.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $32.54 / $32.54	Facility		$32.54	$32.54	$32.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $31.07 / $42.42	Professional		$31.07	$31.07	$42.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $70.68 / $96.00	Professional		$50.82	$70.68	$96.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $40.00 / $70.18	Professional		$32.76	$40.00	$70.18