Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $58.40	Facility		$4.54	$4.54	$58.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $5.16 / $11.70	Professional		$3.77	$5.16	$11.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $22.86 / $92.70	Facility		$9.60	$22.86	$92.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $8.09 / $8.33	Professional		$6.32	$8.09	$8.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.30 / $8.30	Professional		$3.30	$3.30	$8.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $11.33 / $34.70	Professional		$6.88	$11.33	$34.70
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 $10.52 / $10.52 / $10.52	Professional		$10.52	$10.52	$10.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.33 / $12.14	Professional		$11.00	$11.33	$12.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.04 / $6.73	Professional		$2.86	$4.04	$6.73