Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $15.27 / $19.77	Professional		$12.94	$15.27	$19.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $184.31 / $249.87	Facility		$184.31	$184.31	$249.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $20.13	Professional		$19.22	$19.22	$20.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $65.40 / $76.01	Professional		$54.01	$65.40	$76.01
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $31.00 / $48.00	Professional		$28.00	$31.00	$48.00