Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $10.22	Facility		$3.51	$3.51	$10.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $3.57 / $5.55	Professional		$2.61	$3.57	$5.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $73.29	Facility		$45.00	$45.00	$73.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $45.00	Professional		$10.50	$10.50	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $6.44	Professional		$1.30	$1.30	$6.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.63 / $150.00	Professional		$13.18	$16.63	$150.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.82 / $6.56	Professional		$3.07	$3.82	$6.56