Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Facility		$4.87	$4.87	$4.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.87 / $8.67	Professional		$4.05	$4.87	$8.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $23.04 / $76.16	Facility		$12.72	$23.04	$76.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $5.59 / $9.53	Facility		$5.59	$5.59	$9.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $5.59 / $10.13	Professional		$4.75	$5.59	$10.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $13.46 / $17.44	Professional		$8.67	$13.46	$17.44
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 $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.84 / $13.01	Professional		$3.98	$10.84	$13.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.33 / $7.61	Professional		$3.07	$4.33	$7.61