Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.99 / $6.99 / $6.99	Facility		$6.99	$6.99	$6.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $6.99 / $11.23	Professional		$6.29	$6.99	$11.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $201.85 / $735.35	Facility		$80.00	$201.85	$735.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $20.71 / $28.37	Professional		$13.88	$20.71	$28.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $41.25 / $100.00	Professional		$30.42	$41.25	$100.00
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 $13.00 / $18.57 / $22.29	Professional		$13.00	$18.57	$22.29
United Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $8.00 / $8.00	Facility		$5.81	$8.00	$8.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $8.32 / $15.29	Professional		$6.68	$8.32	$15.29