Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $7.38 / $7.38	Facility		$7.38	$7.38	$7.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.75 / $8.09	Professional		$3.99	$5.75	$8.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $24.00 / $63.00	Facility		$24.00	$24.00	$63.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Facility		$10.59	$10.59	$10.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $9.94	Professional		$6.87	$6.87	$9.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $20.05 / $25.09	Professional		$15.89	$20.05	$25.09
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.57 / $10.16	Professional		$3.61	$5.57	$10.16