Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $6.81 / $11.57	Facility		$5.73	$6.81	$11.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.30	Professional		$5.73	$5.73	$6.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $30.94 / $106.24	Facility		$13.46	$30.94	$106.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Facility		$5.73	$5.73	$5.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $6.49	Professional		$5.73	$5.73	$6.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $10.37 / $19.68	Professional		$5.73	$10.37	$19.68
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 $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $8.02 / $8.60	Professional		$5.73	$8.02	$8.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.96 / $6.51	Professional		$5.73	$5.96	$6.51