Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.42 / $171.42 / $171.42	Facility		$171.42	$171.42	$171.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $179.46 / $232.29	Professional		$159.87	$179.46	$232.29
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 $191.28 / $191.28 / $191.28	Professional		$191.28	$191.28	$191.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $563.95 / $713.98	Professional		$324.83	$563.95	$713.98
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