Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $3.98	Professional		$2.00	$3.98	$3.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $4.68 / $31.62	Facility		$1.62	$4.68	$31.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.02	Professional		$1.02	$1.02	$1.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.00 / $199.53	Professional		$7.59	$10.00	$199.53
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20