Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $381.58	Facility		$5.78	$5.78	$381.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.97 / $9.01	Professional		$4.47	$5.97	$9.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $25.95 / $90.03	Facility		$12.80	$25.95	$90.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $7.71 / $7.71	Professional		$6.02	$7.71	$7.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $6.03	Professional		$5.25	$5.25	$6.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.31 / $24.91	Professional		$8.74	$11.31	$24.91
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 $13.36 / $13.36 / $13.36	Professional		$13.36	$13.36	$13.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $14.39 / $15.42	Professional		$4.90	$14.39	$15.42
United Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $5.13 / $8.55	Professional		$3.64	$5.13	$8.55