Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $7.44 / $75.15	Facility		$7.44	$7.44	$75.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $7.56 / $11.75	Professional		$5.67	$7.56	$11.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $367.61 / $2,005.50	Facility		$126.40	$367.61	$2,005.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $13.64	Professional		$9.90	$9.90	$13.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $53.42 / $150.00	Professional		$42.34	$53.42	$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 $6.50 / $8.10 / $13.91	Professional		$6.50	$8.10	$13.91