Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.50 / $289.50 / $289.50	Facility		$289.50	$289.50	$289.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.50 / $331.93 / $500.98	Professional		$289.50	$331.93	$500.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.52 / $8,448.24 / $10,914.88	Facility		$3,981.52	$8,448.24	$10,914.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.89 / $534.89 / $545.90	Professional		$534.89	$534.89	$545.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,575.75 / $1,994.96	Professional		$345.40	$1,575.75	$1,994.96
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00