Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $6.55 / $11.67	Facility		$6.55	$6.55	$11.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.21 / $11.14	Professional		$6.07	$7.21	$11.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $16.52 / $95.99	Facility		$9.92	$16.52	$95.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.67 / $11.67	Professional		$9.11	$11.67	$11.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $11.97	Professional		$4.76	$4.76	$11.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $16.34 / $40.25	Professional		$9.92	$16.34	$40.25
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 $15.17 / $15.17 / $15.17	Professional		$15.17	$15.17	$15.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $16.34 / $17.51	Professional		$15.87	$16.34	$17.51
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.82 / $12.13	Professional		$4.13	$5.82	$12.13