Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $2.20 / $3.69	Facility		$1.10	$2.20	$3.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.26	Professional		$1.10	$1.10	$1.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $4.43 / $21.95	Facility		$2.90	$4.43	$21.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Facility		$1.17	$1.17	$1.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.86 / $125.00	Professional		$10.30	$13.86	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.54	Professional		$1.14	$1.14	$1.54