Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.15 / $1.55 / $2.29	Facility		$1.15	$1.55	$2.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.55 / $3.89	Professional		$1.00	$1.55	$3.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $38.90 / $169.82	Facility		$6.31	$38.90	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $0.89 / $0.89	Facility		$0.89	$0.89	$0.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $1.55	Professional		$0.89	$0.89	$1.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $83.18 / $131.83	Professional		$0.87	$83.18	$131.83
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 $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.91 / $1.00	Professional		$0.85	$0.91	$1.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $0.87 / $2.40	Facility		$0.87	$0.87	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.93 / $1.55	Professional		$0.89	$0.93	$1.55