Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.95	Facility		$2.06	$2.06	$2.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.10 / $3.30	Professional		$1.76	$2.10	$3.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $51.38 / $187.18	Facility		$27.20	$51.38	$187.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.83	Professional		$2.75	$2.75	$2.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $33.27 / $150.00	Professional		$12.61	$33.27	$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 $1.80 / $2.25 / $3.96	Professional		$1.80	$2.25	$3.96