Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $6.61 / $10.00	Facility		$3.80	$6.61	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.76	Professional		$3.02	$3.02	$6.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $39.81 / $109.65	Facility		$19.05	$39.81	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $50.12 / $117.49	Professional		$3.55	$50.12	$117.49
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 $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.50 / $5.50	Facility		$3.80	$5.50	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.17	Professional		$3.80	$3.80	$4.17