Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.68 / $245.47	Facility		$2.69	$4.68	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $87.10	Professional		$2.00	$2.69	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $112.20 / $281.84	Facility		$25.12	$112.20	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.69 / $2.69	Professional		$2.40	$2.69	$2.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.75	Professional		$2.69	$2.69	$2.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $16.98 / $123.03	Professional		$2.51	$16.98	$123.03
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 $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.09 / $3.31	Professional		$2.82	$3.09	$3.31
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.17 / $4.17	Facility		$2.69	$4.17	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.75 / $3.02	Professional		$2.63	$2.75	$3.02