Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $6.30 / $33.93	Facility		$2.88	$6.30	$33.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $3.06	Professional		$2.88	$2.88	$3.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $11.23 / $29.53	Facility		$4.01	$11.23	$29.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Facility		$3.06	$3.06	$3.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $3.06	Professional		$3.06	$3.06	$3.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $19.19 / $67.05	Professional		$14.00	$19.19	$67.05
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.24	Professional		$3.00	$3.00	$3.24