Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $23.07 / $30.53	Professional		$18.30	$23.07	$30.53
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 $32.29 / $32.29 / $33.70	Professional		$32.29	$32.29	$33.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $109.64 / $127.44	Professional		$90.55	$109.64	$127.44
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 $33.00 / $61.00 / $104.00	Professional		$33.00	$61.00	$104.00