Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $3.91 / $6.95	Facility		$3.91	$3.91	$6.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $4.17 / $6.25	Professional		$2.96	$4.17	$6.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $17.55 / $60.92	Facility		$8.00	$17.55	$60.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $5.21 / $5.21	Professional		$3.70	$5.21	$5.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.82 / $4.63	Professional		$3.82	$3.82	$4.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $8.34 / $16.84	Professional		$5.91	$8.34	$16.84
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 $9.03 / $9.03 / $9.69	Professional		$9.03	$9.03	$9.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $9.73 / $10.43	Professional		$3.31	$9.73	$10.43
United Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.47 / $6.14	Professional		$2.64	$3.47	$6.14