Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.10 / $11.10	Facility		$11.10	$11.10	$11.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $13.20 / $17.64	Professional		$11.10	$13.20	$17.64
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 $17.39 / $17.39 / $17.93	Professional		$17.39	$17.39	$17.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $60.82 / $63.79	Professional		$51.72	$60.82	$63.79
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 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00