Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.27 / $23.21	Professional		$15.85	$19.27	$23.21
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 $22.28 / $22.28 / $23.64	Professional		$22.28	$22.28	$23.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $76.94 / $89.43	Professional		$63.54	$76.94	$89.43
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 $17.00 / $44.00 / $49.00	Professional		$17.00	$44.00	$49.00