Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $2.66	Facility		$1.86	$1.86	$2.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.89 / $2.94	Professional		$1.38	$1.89	$2.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $240.00 / $480.60	Facility		$112.20	$240.00	$480.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.75	Professional		$0.75	$0.75	$0.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.24 / $150.00	Professional		$11.21	$15.24	$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 $1.63 / $2.02 / $3.47	Professional		$1.63	$2.02	$3.47