Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $8.91	Facility		$3.98	$3.98	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $8.91	Professional		$3.02	$5.01	$8.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.88 / $75.86	Facility		$12.59	$21.88	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $9.77	Facility		$5.62	$5.62	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $9.55	Professional		$4.79	$4.79	$9.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.49 / $17.38	Professional		$8.71	$13.49	$17.38
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 $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $3.39 / $8.91	Facility		$2.51	$3.39	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.37 / $6.92	Professional		$3.09	$4.37	$6.92