Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.67 / $35.50 / $43.12	Facility		$32.67	$35.50	$43.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
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 $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.65 / $12.30	Professional		$8.44	$10.65	$12.30
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