Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $15.51 / $21.91	Facility		$6.87	$15.51	$21.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $6.87 / $18.20	Professional		$4.21	$6.87	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $42.56 / $105.48	Facility		$10.91	$42.56	$105.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.83 / $6.14	Professional		$3.50	$5.83	$6.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $19.50 / $37.22	Facility		$8.33	$19.50	$37.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $9.91 / $12.39	Professional		$5.21	$9.91	$12.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $15.43 / $65.36	Professional		$8.36	$15.43	$65.36
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 $10.36 / $10.36 / $10.36	Professional		$10.36	$10.36	$10.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.46 / $9.96	Professional		$3.99	$5.46	$9.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $5.08 / $8.21	Professional		$3.35	$5.08	$8.21