Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $94.96	Facility		$80.00	$80.00	$94.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $124.00	Professional		$80.00	$80.00	$124.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.42 / $245.08 / $316.17	Facility		$205.42	$245.08	$316.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.05 / $209.88 / $370.23	Facility		$129.05	$209.88	$370.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $658.15 / $967.86	Professional		$200.00	$658.15	$967.86
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