Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $3.03 / $58.40	Facility		$3.03	$3.03	$58.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.64 / $5.39	Professional		$2.62	$3.64	$5.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.40 / $17.01 / $61.76	Facility		$6.40	$17.01	$61.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.39 / $5.55	Professional		$4.30	$5.39	$5.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $5.53	Professional		$2.20	$2.20	$5.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $7.55 / $25.60	Professional		$4.58	$7.55	$25.60
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 $7.01 / $7.01 / $7.01	Professional		$7.01	$7.01	$7.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.55 / $8.09	Professional		$7.33	$7.55	$8.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.69 / $4.61	Professional		$1.91	$2.69	$4.61