Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $8.19 / $14.58	Facility		$8.19	$8.19	$14.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $8.25 / $12.55	Professional		$6.35	$8.25	$12.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $36.84 / $127.84	Facility		$17.60	$36.84	$127.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $10.94 / $10.94	Professional		$7.26	$10.94	$10.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.95 / $5.95	Professional		$5.70	$5.95	$5.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $16.18 / $35.33	Professional		$12.39	$16.18	$35.33
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 $18.95 / $18.95 / $18.95	Professional		$18.95	$18.95	$18.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $20.41 / $21.87	Professional		$6.95	$20.41	$21.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $7.28 / $12.49	Professional		$5.16	$7.28	$12.49