Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $155.28 / $333.06	Facility		$2.69	$155.28	$333.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.42 / $3.97	Professional		$1.41	$1.42	$3.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $13.45 / $59.36	Facility		$4.80	$13.45	$59.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Professional		$3.86	$3.86	$3.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Facility		$1.41	$1.41	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.47	Professional		$1.41	$1.41	$1.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.13 / $7.35	Professional		$1.42	$2.13	$7.35
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 $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.94 / $2.15	Professional		$1.43	$1.94	$2.15
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.42 / $2.17	Professional		$1.42	$1.42	$2.17