Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $10.03 / $13.10	Facility		$4.61	$10.03	$13.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $5.86 / $10.40	Professional		$4.12	$5.86	$10.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $26.73 / $66.48	Facility		$6.87	$26.73	$66.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.50 / $3.87	Professional		$3.46	$3.50	$3.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $12.03 / $23.83	Facility		$5.52	$12.03	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $6.20 / $7.75	Professional		$3.53	$6.20	$7.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $8.78 / $42.20	Professional		$5.12	$8.78	$42.20
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 $6.53 / $6.53 / $6.53	Professional		$6.53	$6.53	$6.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.44 / $6.28	Professional		$2.31	$3.44	$6.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.01 / $8.52	Professional		$3.01	$5.01	$8.52