Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $15.75	Facility		$2.49	$2.49	$15.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.73	Professional		$2.49	$2.49	$2.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $95.97 / $432.76	Facility		$47.71	$95.97	$432.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $9.82	Professional		$2.49	$2.49	$9.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.49 / $65.62	Professional		$2.24	$3.49	$65.62
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 $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $30.00 / $30.00	Professional		$12.36	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.73	Professional		$2.49	$2.49	$2.73