Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Professional		$45.71	$45.71	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.31 / $9.33	Professional		$3.24	$3.31	$9.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $15.14	Professional		$10.47	$13.18	$15.14
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01