Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.44 / $404.80 / $516.94	Facility		$385.44	$404.80	$516.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $433.15 / $1,935.00	Facility		$238.50	$433.15	$1,935.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00