Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $5.14 / $7.98	Facility		$3.65	$5.14	$7.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.65 / $4.01	Professional		$3.65	$3.65	$4.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $16.41 / $71.29	Facility		$10.11	$16.41	$71.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Facility		$3.88	$3.88	$3.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $4.25	Professional		$3.88	$3.88	$4.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $45.22 / $57.36	Professional		$33.00	$45.22	$57.36
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 $3.95 / $5.53 / $5.93	Professional		$3.95	$5.53	$5.93
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.03 / $4.26	Professional		$3.80	$4.03	$4.26