Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $631.16	Professional		$5.81	$5.81	$631.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.73 / $1,049.58 / $1,835.21	Facility		$1,000.73	$1,049.58	$1,835.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.24 / $473.24 / $473.24	Facility		$473.24	$473.24	$473.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $533.75 / $659.34	Professional		$127.78	$533.75	$659.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$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 $34.78 / $35.75 / $2,500.00	Professional		$34.78	$35.75	$2,500.00