Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.50 / $25.00	Professional		$5.00	$7.50	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $211.89 / $255.12	Professional		$78.48	$211.89	$255.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $50.49 / $66.95	Professional		$20.54	$50.49	$66.95
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 $30.00 / $30.00 / $40.00	Professional		$30.00	$30.00	$40.00