Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.62 / $136.62 / $136.62	Facility		$136.62	$136.62	$136.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Professional		$46.00	$46.00	$46.00
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 $9.24 / $16.44 / $16.44	Professional		$9.24	$16.44	$16.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $13.16 / $15.19	Professional		$10.43	$13.16	$15.19
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00