Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $15.40 / $173.14	Facility		$1.62	$15.40	$173.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.93	Professional		$1.62	$1.62	$1.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.99 / $14.97 / $31.82	Facility		$6.99	$14.97	$31.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Professional		$1.52	$1.52	$1.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Facility		$1.73	$1.73	$1.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $23.91 / $46.16	Professional		$18.68	$23.91	$46.16
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 $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $1.91	Professional		$1.69	$1.69	$1.91