Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $9.98 / $35.36	Facility		$4.55	$9.98	$35.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $4.84	Professional		$4.55	$4.55	$4.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $19.53 / $82.18	Facility		$11.20	$19.53	$82.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Facility		$5.24	$5.24	$5.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $21.74 / $120.00	Professional		$8.07	$21.74	$120.00
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 $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.40	Professional		$5.24	$5.24	$5.40