Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $2.59 / $4.61	Facility		$2.59	$2.59	$4.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.68 / $4.04	Professional		$2.00	$2.68	$4.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $10.39 / $40.39	Facility		$4.76	$10.39	$40.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.46 / $3.46	Professional		$2.29	$3.46	$3.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $2.78	Professional		$1.88	$1.88	$2.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $6.45 / $11.17	Professional		$3.92	$6.45	$11.17
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 $5.99 / $5.99 / $5.99	Professional		$5.99	$5.99	$5.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $6.45 / $6.92	Professional		$6.27	$6.45	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.29 / $4.07	Professional		$1.76	$2.29	$4.07