Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $15.74 / $21.61	Facility		$6.77	$15.74	$21.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $6.77 / $13.72	Professional		$4.16	$6.77	$13.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $24.21 / $82.71	Facility		$11.88	$24.21	$82.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.76 / $6.06	Professional		$3.50	$5.76	$6.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $19.50 / $35.74	Facility		$8.22	$19.50	$35.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $9.50 / $12.01	Professional		$5.15	$9.50	$12.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.25 / $96.99	Professional		$8.26	$15.25	$96.99
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 $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.33 / $7.87	Professional		$3.75	$4.33	$7.87
United Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $7.87 / $9.44	Facility		$5.41	$7.87	$9.44
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.25 / $9.19	Professional		$3.31	$5.25	$9.19