Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $9.77	Facility		$5.01	$5.01	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.91	Professional		$3.98	$6.03	$8.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $20.89 / $83.18	Facility		$10.96	$20.89	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.24 / $7.24	Professional		$5.62	$7.24	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $5.62	Professional		$4.90	$4.90	$5.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.80 / $28.18	Professional		$8.13	$13.80	$28.18
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 $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.59 / $9.77	Facility		$4.90	$7.59	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.79 / $6.92	Professional		$3.16	$4.79	$6.92