Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $3.45 / $201.05	Facility		$1.71	$3.45	$201.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $6.96	Professional		$1.71	$1.71	$6.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $6.63 / $48.53	Facility		$6.39	$6.63	$48.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $6.63 / $6.63	Professional		$6.63	$6.63	$6.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $1.71	Facility		$1.71	$1.71	$1.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $1.78	Professional		$1.71	$1.71	$1.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.57 / $9.07	Professional		$1.71	$2.57	$9.07
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 $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.46 / $2.72	Professional		$1.81	$2.46	$2.72
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.99	Professional		$1.71	$1.71	$2.99