Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $14.72 / $38.42	Facility		$5.07	$14.72	$38.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.23 / $16.19	Professional		$4.19	$4.23	$16.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $325.16 / $788.70	Facility		$115.27	$325.16	$788.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $4.19 / $4.19	Facility		$4.19	$4.19	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.19 / $38.02	Professional		$4.19	$4.19	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $100.00 / $359.26	Professional		$4.19	$100.00	$359.26
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 $5.45 / $5.45 / $5.45	Professional		$5.45	$5.45	$5.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $22.41 / $24.02	Professional		$16.01	$22.41	$24.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $4.44 / $5.07	Professional		$4.19	$4.44	$5.07