Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $10.02 / $10.02	Facility		$8.60	$10.02	$10.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.87 / $5.71	Professional		$4.76	$4.87	$5.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $34.20 / $103.08	Facility		$14.64	$34.20	$103.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Facility		$4.87	$4.87	$4.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $27.17 / $120.00	Professional		$12.12	$27.17	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.08	Professional		$5.73	$5.73	$6.08