Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.07 / $6.50	Facility		$0.03	$0.07	$6.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $76.20 / $320.88	Facility		$27.20	$76.20	$320.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $20.03	Professional		$20.03	$20.03	$20.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $1.35 / $345.40	Professional		$0.10	$1.35	$345.40
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