Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.48 / $90.48 / $122.15	Facility		$90.48	$90.48	$122.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $90.48 / $107.06	Professional		$90.48	$90.48	$107.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $35.02 / $45.18	Facility		$29.35	$35.02	$45.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $43.09 / $82.45	Facility		$35.74	$43.09	$82.45
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