Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $3.70 / $3.70	Facility		$3.70	$3.70	$3.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.70 / $6.58	Professional		$2.90	$3.70	$6.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $16.66 / $57.80	Facility		$7.95	$16.66	$57.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $3.96 / $7.24	Facility		$3.96	$3.96	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.96 / $7.50	Professional		$3.37	$3.96	$7.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $11.05 / $14.79	Professional		$6.25	$11.05	$14.79
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 $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $8.94 / $9.86	Professional		$3.01	$8.94	$9.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $3.29 / $5.64	Professional		$2.33	$3.29	$5.64