Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $5.72 / $9.58	Facility		$2.86	$5.72	$9.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $3.56	Professional		$2.86	$2.86	$3.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $8.36 / $49.13	Facility		$2.82	$8.36	$49.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Facility		$3.04	$3.04	$3.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $3.04	Professional		$3.04	$3.04	$3.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
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 Facility Modifier Low / Median / High Price $2.18 / $3.60 / $3.60	Facility		$2.18	$3.60	$3.60
United Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $3.22	Professional		$2.98	$2.98	$3.22