Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $16.77 / $67.20	Facility		$7.66	$16.77	$67.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $7.66 / $10.06	Professional		$7.66	$7.66	$10.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $28.55 / $126.78	Facility		$18.00	$28.55	$126.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Facility		$8.14	$8.14	$8.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Professional		$8.14	$8.14	$8.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $39.46 / $125.00	Professional		$28.88	$39.46	$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 $2.04 / $3.06 / $3.15	Professional		$2.04	$3.06	$3.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $8.47	Professional		$7.98	$7.98	$8.47