Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $41.58 / $41.58	Facility		$41.58	$41.58	$41.58
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 $6.60 / $21.03 / $21.03	Professional		$6.60	$21.03	$21.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.63 / $19.20	Professional		$13.18	$16.63	$19.20
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
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $7.20	Professional		$7.20	$7.20	$7.20