Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.00 / $4,000.00	Professional		$4.00	$5.00	$4,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $76.41 / $98.58	Facility		$64.05	$76.41	$98.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $83.56 / $148.46	Facility		$42.88	$83.56	$148.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
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 / $1,500.00 / $2,500.00	Professional		$30.00	$1,500.00	$2,500.00