Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.63 / $12.93 / $21.09	Facility		$6.63	$12.93	$21.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $6.63 / $113.50	Professional		$4.20	$6.63	$113.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $28.87 / $64.26	Facility		$13.04	$28.87	$64.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $29.80 / $37.22	Facility		$11.12	$29.80	$37.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.91 / $12.39	Professional		$9.50	$9.91	$12.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $11.31 / $100.00	Professional		$8.08	$11.31	$100.00
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 $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.54 / $10.10	Professional		$4.04	$5.54	$10.10
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.84 / $8.32	Professional		$3.39	$4.84	$8.32