Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $5.71 / $10.16	Facility		$5.71	$5.71	$10.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $5.90 / $8.90	Professional		$4.42	$5.90	$8.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $25.63 / $88.94	Facility		$12.80	$25.63	$88.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $7.62 / $7.62	Professional		$5.95	$7.62	$7.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.19 / $6.03	Professional		$5.19	$5.19	$6.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $13.21 / $24.62	Professional		$8.64	$13.21	$24.62
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 $13.21 / $13.21 / $13.21	Professional		$13.21	$13.21	$13.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $14.22 / $15.24	Professional		$4.83	$14.22	$15.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $5.07 / $8.44	Professional		$3.59	$5.07	$8.44