Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $5.31	Facility		$3.72	$3.72	$5.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $3.86 / $6.42	Professional		$2.91	$3.86	$6.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $134.50 / $668.50	Facility		$48.00	$134.50	$668.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $17.00 / $17.00	Professional		$16.11	$17.00	$17.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $38.81 / $150.00	Professional		$23.12	$38.81	$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 $3.25 / $4.05 / $6.90	Professional		$3.25	$4.05	$6.90