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 $1.53 / $2.10 / $3.26	Professional		$1.53	$2.10	$3.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $227.50 / $869.05	Facility		$104.00	$227.50	$869.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $3.87	Professional		$2.12	$2.12	$3.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $39.61 / $150.00	Professional		$12.61	$39.61	$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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.25 / $3.86	Professional		$1.50	$2.25	$3.86