Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.75 / $345.75 / $345.75	Facility		$345.75	$345.75	$345.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.75 / $396.31 / $956.74	Professional		$345.75	$396.31	$956.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,993.13 / $2,377.90 / $3,067.69	Facility		$1,993.13	$2,377.90	$3,067.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.21 / $804.21 / $804.21	Professional		$804.21	$804.21	$804.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $2,303.56 / $2,757.93	Professional		$345.40	$2,303.56	$2,757.93
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