Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $5.94 / $9.16	Facility		$3.96	$5.94	$9.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $4.21	Professional		$3.96	$3.96	$4.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $18.75 / $64.76	Facility		$9.19	$18.75	$64.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $13.03 / $125.00	Professional		$9.53	$13.03	$125.00
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 $3.43 / $3.65 / $3.75	Professional		$3.43	$3.65	$3.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.38	Professional		$4.13	$4.13	$4.38