Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $5.69 / $12.60	Facility		$3.76	$5.69	$12.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.76 / $4.00	Professional		$3.76	$3.76	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $22.57 / $82.12	Facility		$9.48	$22.57	$82.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $5.74	Professional		$4.00	$4.00	$5.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.03 / $100.00	Professional		$6.61	$9.03	$100.00
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.36 / $6.97	Professional		$5.72	$6.36	$6.97