Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $2.66	Facility		$1.86	$1.86	$2.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.89 / $2.94	Professional		$1.53	$1.89	$2.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $14.33 / $24.69	Facility		$5.74	$14.33	$24.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $2.47 / $2.47	Professional		$1.30	$2.47	$2.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $14.54 / $120.00	Professional		$5.09	$14.54	$120.00
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 $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.02 / $3.73	Professional		$1.35	$2.02	$3.73