Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.00 / $1,195.00 / $1,195.00	Professional		$1,195.00	$1,195.00	$1,195.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.03 / $96.18	Professional		$50.00	$65.03	$96.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
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