Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.84 / $517.29 / $517.29	Facility		$413.84	$517.29	$517.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $517.29 / $636.39	Professional		$517.29	$517.29	$636.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $47.77 / $287.58	Facility		$18.89	$47.77	$287.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $199.62 / $370.23	Facility		$129.79	$199.62	$370.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,537.95 / $2,587.50	Professional		$345.40	$1,537.95	$2,587.50
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