Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.87 / $267.04 / $401.93	Facility		$163.87	$267.04	$401.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $62.50 / $652.00	Professional		$25.00	$62.50	$652.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $284.18 / $366.62	Facility		$238.19	$284.18	$366.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.58 / $289.75 / $554.38	Facility		$258.58	$289.75	$554.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00