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 $30.40 / $66.50 / $254.03	Facility		$30.40	$66.50	$254.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.57	Professional		$19.00	$19.00	$19.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.28	Professional		$0.27	$0.27	$0.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.66 / $150.00	Professional		$0.52	$0.66	$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 $1.82 / $40.00 / $2,500.00	Professional		$1.82	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.22 / $0.49	Professional		$0.18	$0.22	$0.49