Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $6.02 / $10.08	Facility		$3.01	$6.02	$10.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.01 / $3.74	Professional		$3.01	$3.01	$3.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $13.52 / $67.01	Facility		$8.85	$13.52	$67.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $43.48 / $125.00	Professional		$32.96	$43.48	$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 $3.13 / $3.13 / $3.32	Professional		$3.13	$3.13	$3.32