Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $9.10 / $15.08	Facility		$4.50	$9.10	$15.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.78	Professional		$4.50	$4.50	$4.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $53.01 / $223.06	Facility		$30.40	$53.01	$223.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Facility		$4.49	$4.49	$4.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $125.00 / $345.40	Professional		$8.66	$125.00	$345.40
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 $5.53 / $5.53 / $5.53	Professional		$5.53	$5.53	$5.53
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.79	Professional		$5.62	$5.62	$5.79