Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $8.21 / $19.17	Facility		$5.45	$8.21	$19.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.88 / $168.25	Professional		$4.69	$4.88	$168.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $41.82 / $207.28	Facility		$27.37	$41.82	$207.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Facility		$4.69	$4.69	$4.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $19.26 / $54.88	Professional		$4.69	$19.26	$54.88
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 $6.10 / $6.10 / $6.10	Professional		$6.10	$6.10	$6.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.86	Professional		$5.71	$5.71	$5.86
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $8.44	Professional		$4.69	$4.69	$8.44