Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $5.86 / $10.44	Facility		$5.86	$5.86	$10.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.06 / $9.14	Professional		$4.54	$6.06	$9.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $21.19 / $88.63	Facility		$12.08	$21.19	$88.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $7.83 / $7.83	Professional		$6.12	$7.83	$7.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.33 / $6.49	Professional		$5.33	$5.33	$6.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.01 / $25.30	Professional		$8.86	$12.01	$25.30
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 $13.57 / $13.57 / $13.57	Professional		$13.57	$13.57	$13.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $14.62 / $15.66	Professional		$4.74	$14.62	$15.66
United Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $5.21 / $8.94	Professional		$3.69	$5.21	$8.94