Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.25 / $224.25 / $224.25	Facility		$224.25	$224.25	$224.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $241.63 / $348.69	Professional		$202.43	$241.63	$348.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.73 / $4,864.60 / $5,983.73	Facility		$3,887.73	$4,864.60	$5,983.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.97 / $292.97 / $292.97	Professional		$292.97	$292.97	$292.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $845.93 / $1,053.90	Professional		$345.40	$845.93	$1,053.90
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