Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.30 / $132.88 / $132.88	Facility		$106.30	$132.88	$132.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $205.96	Professional		$132.88	$132.88	$205.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $76.41 / $98.58	Facility		$64.05	$76.41	$98.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $83.56 / $120.60	Facility		$42.29	$83.56	$120.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $402.92 / $592.52	Professional		$200.00	$402.92	$592.52
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 / $30.00	Professional		$30.00	$30.00	$30.00