Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $5.76 / $10.26	Facility		$5.76	$5.76	$10.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.96 / $8.99	Professional		$4.46	$5.96	$8.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $59.44 / $119.02	Facility		$27.78	$59.44	$119.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $7.70 / $7.70	Professional		$6.01	$7.70	$7.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $6.03	Professional		$5.24	$5.24	$6.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $12.72 / $24.86	Professional		$8.72	$12.72	$24.86
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 $13.34 / $13.34 / $13.34	Professional		$13.34	$13.34	$13.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.89 / $14.36 / $15.39	Professional		$4.89	$14.36	$15.39
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.12 / $8.52	Professional		$3.91	$5.12	$8.52