Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $130.19 / $130.19	Facility		$130.19	$130.19	$130.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.25 / $1,387.14 / $1,753.75	Facility		$1,159.25	$1,387.14	$1,753.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.84 / $1,096.00 / $1,443.80	Facility		$238.84	$1,096.00	$1,443.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00