Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $5.43 / $43.75	Facility		$3.04	$5.43	$43.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.10 / $3.68	Professional		$3.04	$3.10	$3.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $11.45 / $50.33	Facility		$7.14	$11.45	$50.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Facility		$3.10	$3.10	$3.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.50 / $19.68	Professional		$3.10	$4.50	$19.68
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 $4.03 / $4.03 / $4.03	Professional		$4.03	$4.03	$4.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $3.03 / $3.12	Professional		$2.11	$3.03	$3.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.40	Professional		$3.10	$3.10	$3.40