Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.54 / $5.54 / $5.54	Facility		$5.54	$5.54	$5.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.54 / $8.61	Professional		$4.30	$5.54	$8.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $21.52 / $92.62	Facility		$12.72	$21.52	$92.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $5.99 / $11.80	Facility		$5.99	$5.99	$11.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $12.50	Professional		$4.37	$4.37	$12.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $20.14 / $26.66	Professional		$10.77	$20.14	$26.66
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 $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $8.11 / $8.51	Professional		$5.67	$8.11	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.37 / $9.18	Professional		$3.99	$5.37	$9.18