Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.63 / $1.63 / $1.63	Facility		$1.63	$1.63	$1.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.63 / $2.90	Professional		$1.35	$1.63	$2.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $6.58 / $25.56	Facility		$3.20	$6.58	$25.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.18 / $2.18	Professional		$1.70	$2.18	$2.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $1.87 / $3.19	Facility		$1.87	$1.87	$3.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.87 / $3.75	Professional		$1.59	$1.87	$3.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.63 / $6.24	Professional		$2.90	$4.63	$6.24
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 $3.77 / $3.77 / $4.05	Professional		$3.77	$3.77	$4.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $3.94 / $4.34	Professional		$1.33	$3.94	$4.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.45 / $2.54	Professional		$1.10	$1.45	$2.54