Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $7.50 / $7.65	Facility		$7.50	$7.50	$7.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.60 / $320.00 / $640.79	Facility		$149.60	$320.00	$640.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $41.20	Professional		$41.20	$41.20	$41.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.63 / $160.00	Professional		$13.18	$16.63	$160.00
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 $7.07 / $7.07 / $7.07	Professional		$7.07	$7.07	$7.07