Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $18.28 / $18.28	Facility		$18.28	$18.28	$18.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $20.18 / $25.16	Professional		$17.21	$20.18	$25.16
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 $20.72 / $20.72 / $21.88	Professional		$20.72	$20.72	$21.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $74.55 / $78.19	Professional		$63.40	$74.55	$78.19
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