Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $5.76 / $10.05	Facility		$3.00	$5.76	$10.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.19	Professional		$3.00	$3.00	$3.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $8.49 / $38.50	Facility		$4.80	$8.49	$38.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Facility		$2.85	$2.85	$2.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Professional		$2.85	$2.85	$2.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $35.17 / $120.00	Professional		$3.65	$35.17	$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 $3.75 / $3.75 / $3.98	Professional		$3.75	$3.75	$3.98