Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $17.23 / $36.26	Facility		$3.00	$17.23	$36.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.34 / $29.32	Professional		$3.00	$4.34	$29.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $64.00 / $128.16	Facility		$29.92	$64.00	$128.16
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 $11.20 / $12.16 / $26.63	Professional		$11.20	$12.16	$26.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $17.61 / $33.90	Professional		$12.32	$17.61	$33.90
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 $14.50 / $14.56 / $15.81	Professional		$14.50	$14.56	$15.81
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 $10.37 / $12.97 / $27.13	Professional		$10.37	$12.97	$27.13