Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $0.73 / $5.15	Facility		$0.73	$0.73	$5.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $0.73 / $6.21	Professional		$0.73	$0.73	$6.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $4.65 / $25.80	Facility		$1.61	$4.65	$25.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $8.16	Professional		$8.16	$8.16	$8.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.45 / $150.00	Professional		$10.54	$14.45	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00