Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $6.21 / $11.05	Facility		$6.21	$6.21	$11.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.42 / $9.68	Professional		$4.80	$6.42	$9.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $23.76 / $96.96	Facility		$12.80	$23.76	$96.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $8.28 / $8.28	Professional		$6.47	$8.28	$8.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $6.49	Professional		$5.64	$5.64	$6.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $12.17 / $26.77	Professional		$9.39	$12.17	$26.77
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 $14.37 / $14.37 / $14.37	Professional		$14.37	$14.37	$14.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $15.47 / $16.57	Professional		$5.26	$15.47	$16.57
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.51 / $9.68	Professional		$3.91	$5.51	$9.68