Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.54 / $20.20	Facility		$6.03	$7.54	$20.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.92 / $11.69	Professional		$7.54	$7.92	$11.69
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 / $688.12 / $1,100.71	Professional		$200.00	$688.12	$1,100.71
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