Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $19.34 / $26.21	Facility		$2.95	$19.34	$26.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $12.78 / $13.58	Professional		$12.78	$12.78	$13.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $17.46 / $17.46	Facility		$17.46	$17.46	$17.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $85.00 / $85.00	Facility		$13.58	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.54 / $6.94	Professional		$4.38	$5.54	$6.94
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 $1.44 / $2.23 / $3.63	Professional		$1.44	$2.23	$3.63