Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $6.47 / $6.47	Facility		$6.47	$6.47	$6.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $6.47 / $11.52	Professional		$5.38	$6.47	$11.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $31.13 / $100.91	Facility		$17.48	$31.13	$100.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $7.54 / $12.68	Facility		$7.54	$7.54	$12.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $6.41 / $13.64	Professional		$6.41	$6.41	$13.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $17.30 / $22.43	Professional		$11.53	$17.30	$22.43
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 $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $14.41 / $17.30	Professional		$5.28	$14.41	$17.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $9.86	Professional		$4.07	$5.75	$9.86