Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $4.71 / $4.71	Facility		$4.71	$4.71	$4.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.71 / $8.39	Professional		$3.92	$4.71	$8.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $21.20 / $73.56	Facility		$9.53	$21.20	$73.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $6.30 / $6.30	Professional		$5.04	$6.30	$6.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $5.04 / $9.24	Facility		$5.04	$5.04	$9.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.04 / $9.75	Professional		$4.28	$5.04	$9.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $12.15 / $17.07	Professional		$8.40	$12.15	$17.07
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 $10.92 / $10.92 / $10.92	Professional		$10.92	$10.92	$10.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $11.42 / $12.60	Professional		$3.99	$11.42	$12.60
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.19 / $7.42	Professional		$2.79	$4.19	$7.42