Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $1.69 / $1.69	Facility		$1.69	$1.69	$1.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $2.80	Professional		$1.69	$1.69	$2.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $140.00 / $534.79	Facility		$64.00	$140.00	$534.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $1.89	Professional		$1.89	$1.89	$1.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.14 / $160.00	Professional		$8.03	$10.14	$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 $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11