Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $5.49 / $332.58	Facility		$2.72	$5.49	$332.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.73 / $3.10	Professional		$2.72	$2.73	$3.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $16.73 / $63.98	Facility		$10.02	$16.73	$63.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Facility		$2.73	$2.73	$2.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.95	Professional		$2.73	$2.73	$3.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $5.73 / $41.13	Professional		$2.73	$5.73	$41.13
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 $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.26 / $4.55	Professional		$3.04	$4.26	$4.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.89 / $3.41	Professional		$2.73	$2.89	$3.41