Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $10.93	Professional		$1.57	$1.57	$10.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $71.28 / $309.60	Facility		$38.40	$71.28	$309.60
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 Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $26.08 / $46.42	Professional		$19.96	$26.08	$46.42
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 $21.60 / $28.80 / $46.77	Professional		$21.60	$28.80	$46.77