Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $12.02 / $19.89	Facility		$5.94	$12.02	$19.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $5.94 / $6.31	Professional		$5.94	$5.94	$6.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $16.73 / $70.44	Facility		$9.60	$16.73	$70.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $27.17 / $120.00	Professional		$7.33	$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 $4.76 / $4.76 / $4.90	Professional		$4.76	$4.76	$4.90