Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.34 / $154.34 / $154.34	Professional		$154.34	$154.34	$154.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.65 / $780.97 / $1,499.55	Facility		$364.65	$780.97	$1,499.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $97.50 / $97.50	Professional		$97.50	$97.50	$97.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $301.20 / $347.36	Professional		$120.00	$301.20	$347.36
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 $107.67 / $107.67 / $125.62	Professional		$107.67	$107.67	$125.62