Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $6.06 / $10.79	Facility		$6.06	$6.06	$10.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $6.13 / $9.24	Professional		$4.70	$6.13	$9.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $27.24 / $94.52	Facility		$12.80	$27.24	$94.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $8.09 / $8.09	Professional		$5.53	$8.09	$8.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $6.49	Professional		$5.51	$5.51	$6.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $11.87 / $26.14	Professional		$9.17	$11.87	$26.14
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 $14.03 / $14.03 / $14.03	Professional		$14.03	$14.03	$14.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $15.11 / $16.19	Professional		$5.14	$15.11	$16.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.38 / $8.97	Professional		$3.81	$5.38	$8.97