Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.63 / $4.68	Professional		$2.19	$2.63	$4.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $13.72 / $41.07	Facility		$7.95	$13.72	$41.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.52 / $3.52	Professional		$2.82	$3.52	$3.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $5.16	Facility		$2.81	$2.81	$5.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.81 / $5.25	Professional		$2.39	$2.81	$5.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.63 / $8.86	Professional		$4.69	$5.63	$8.86
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 $6.10 / $6.10 / $6.10	Professional		$6.10	$6.10	$6.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $5.86 / $7.04	Professional		$2.21	$5.86	$7.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.31 / $4.01	Professional		$1.66	$2.31	$4.01