Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.15 / $308.58 / $1,566.25	Facility		$87.15	$308.58	$1,566.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $121.70 / $486.84	Professional		$102.14	$121.70	$486.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,057.00 / $4,400.00 / $8,811.00	Facility		$2,057.00	$4,400.00	$8,811.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Professional		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $323.70 / $790.50	Professional		$138.60	$323.70	$790.50
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