Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $23.07 / $31.69	Professional		$18.30	$23.07	$31.69
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 $33.83 / $33.83 / $35.72	Professional		$33.83	$33.83	$35.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $115.41 / $134.13	Professional		$95.31	$115.41	$134.13
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $60.00 / $106.00	Professional		$48.00	$60.00	$106.00