Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Facility		$9.36	$9.36	$9.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $10.51 / $11.77	Professional		$9.27	$10.51	$11.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $125.93 / $162.46	Facility		$105.55	$125.93	$162.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $11.40	Professional		$10.72	$10.72	$11.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $39.24 / $41.15	Professional		$33.36	$39.24	$41.15
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