Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $2.83 / $5.03	Facility		$2.83	$2.83	$5.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.92 / $4.41	Professional		$2.19	$2.92	$4.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $29.12 / $58.31	Facility		$13.61	$29.12	$58.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $3.77	Professional		$2.95	$2.95	$3.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.58 / $3.25	Professional		$2.58	$2.58	$3.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.78 / $12.19	Professional		$4.28	$5.78	$12.19
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 $6.54 / $6.54 / $6.54	Professional		$6.54	$6.54	$6.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $7.04 / $7.55	Professional		$2.39	$7.04	$7.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.50 / $4.45	Professional		$1.92	$2.50	$4.45