Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $51.16 / $68.52	Professional		$42.69	$51.16	$68.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,377.90 / $2,377.90 / $3,223.67	Facility		$2,377.90	$2,377.90	$3,223.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $74.84	Professional		$73.31	$73.31	$74.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $208.34 / $237.51	Professional		$183.68	$208.34	$237.51
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $128.00 / $181.00	Professional		$96.00	$128.00	$181.00