Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $5.46 / $12.34	Facility		$4.96	$5.46	$12.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.33 / $5.90	Professional		$4.29	$4.33	$5.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $25.51 / $109.35	Facility		$10.90	$25.51	$109.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $7.13	Professional		$6.31	$6.31	$7.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Facility		$4.29	$4.29	$4.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $6.03	Professional		$4.29	$4.29	$6.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $7.57 / $13.98	Professional		$4.29	$7.57	$13.98
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 $5.58 / $5.58 / $5.58	Professional		$5.58	$5.58	$5.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $7.41 / $7.94	Professional		$5.29	$7.41	$7.94
United Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $4.29	Facility		$4.29	$4.29	$4.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.29 / $4.63	Professional		$4.29	$4.29	$4.63