Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $298.27 / $298.27	Facility		$298.27	$298.27	$298.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $321.44 / $563.66	Professional		$298.27	$321.44	$563.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $2,115.44 / $2,733.09	Facility		$897.18	$2,115.44	$2,733.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.78 / $473.78 / $473.78	Professional		$473.78	$473.78	$473.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,368.41 / $1,704.85	Professional		$345.40	$1,368.41	$1,704.85
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