Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $30.00 / $75.00	Professional		$10.00	$30.00	$75.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.00 / $8.00	Professional		$5.00	$8.00	$8.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $14.80 / $26.63	Professional		$13.56	$14.80	$26.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $20.75 / $34.18	Professional		$14.24	$20.75	$34.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $17.72 / $19.23	Professional		$17.63	$17.72	$19.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.65 / $22.77	Professional		$10.00	$13.65	$22.77