Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.04 / $26.47	Professional		$3.04	$3.04	$26.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $50.40 / $213.92	Facility		$25.60	$50.40	$213.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
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 $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $17.39 / $30.95	Professional		$14.47	$17.39	$30.95
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 $14.40 / $19.20 / $31.34	Professional		$14.40	$19.20	$31.34