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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.03 / $854.03 / $854.03	Professional		$854.03	$854.03	$854.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $89.10 / $109.59	Facility		$71.20	$89.10	$109.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.31 / $88.53 / $169.38	Facility		$82.31	$88.53	$169.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00