Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $29.39 / $29.39	Facility		$29.39	$29.39	$29.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $40.44 / $58.85	Professional		$29.39	$40.44	$58.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.76 / $345.70 / $445.98	Facility		$289.76	$345.70	$445.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $50.64 / $53.14	Professional		$50.64	$50.64	$53.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $146.38 / $168.03	Professional		$136.84	$146.38	$168.03
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00