Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.30	Facility		$0.21	$0.21	$0.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.21 / $0.33	Professional		$0.15	$0.21	$0.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $113.20 / $401.10	Facility		$64.00	$113.20	$401.10
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 $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.10 / $150.00	Professional		$0.87	$1.10	$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 $0.18 / $0.22 / $0.37	Professional		$0.18	$0.22	$0.37