Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $16.97 / $21.24	Professional		$11.95	$16.97	$21.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.50 / $148.50 / $148.50	Facility		$78.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $120.00 / $345.40	Professional		$41.62	$120.00	$345.40
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 $30.00 / $47.00 / $62.00	Professional		$30.00	$47.00	$62.00