Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $2.54 / $4.70	Facility		$1.34	$2.54	$4.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $2.54 / $2.62	Professional		$1.34	$2.54	$2.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $45.72 / $83.64	Facility		$3.92	$45.72	$83.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.53 / $1.53	Professional		$1.36	$1.53	$1.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Facility		$2.54	$2.54	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.00	Professional		$2.54	$2.54	$3.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $4.15 / $75.30	Professional		$2.37	$4.15	$75.30
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 $3.30 / $3.30 / $3.30	Professional		$3.30	$3.30	$3.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.78 / $1.91	Professional		$1.27	$1.78	$1.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.69 / $8.01	Professional		$2.54	$2.69	$8.01