Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.63 / $6.46	Professional		$3.01	$3.63	$6.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $17.13 / $56.71	Facility		$9.53	$17.13	$56.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $4.84 / $4.84	Professional		$3.79	$4.84	$4.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $7.11	Facility		$3.88	$3.88	$7.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.88 / $7.50	Professional		$3.30	$3.88	$7.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.28 / $17.30	Professional		$6.46	$13.28	$17.30
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 $8.40 / $8.40 / $8.40	Professional		$8.40	$8.40	$8.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $8.08 / $9.69	Professional		$2.95	$8.08	$9.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.23 / $5.38	Professional		$2.29	$3.23	$5.38