Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $10.29	Facility		$5.78	$5.78	$10.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.57 / $10.29	Professional		$4.80	$6.57	$10.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $30.91 / $117.99	Facility		$11.20	$30.91	$117.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.29 / $10.60	Professional		$8.03	$10.29	$10.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $10.56	Professional		$4.20	$4.20	$10.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $13.07 / $64.00	Professional		$8.75	$13.07	$64.00
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 $13.38 / $13.38 / $13.38	Professional		$13.38	$13.38	$13.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $14.41 / $15.44	Professional		$13.99	$14.41	$15.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.14 / $9.09	Professional		$4.37	$5.14	$9.09