Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $22.86 / $34.24	Professional		$18.30	$22.86	$34.24
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 $36.89 / $36.89 / $38.61	Professional		$36.89	$36.89	$38.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $125.03 / $145.32	Professional		$103.25	$125.03	$145.32
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 $38.00 / $74.00 / $124.00	Professional		$38.00	$74.00	$124.00