Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.36 / $2.36	Facility		$2.36	$2.36	$2.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.84 / $2.57	Professional		$1.23	$1.84	$2.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $35.39 / $62.72	Facility		$27.20	$35.39	$62.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $16.00 / $16.00	Professional		$13.60	$16.00	$16.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $3.53 / $3.89	Professional		$3.53	$3.53	$3.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.81 / $24.70	Professional		$12.30	$15.81	$24.70
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 $7.78 / $30.00 / $2,500.00	Professional		$7.78	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.78 / $3.26	Professional		$1.15	$1.78	$3.26