Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.19 / $49.19 / $49.19	Facility		$49.19	$49.19	$49.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $53.03 / $70.16	Professional		$41.66	$53.03	$70.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.21 / $2,374.42 / $3,067.69	Facility		$1,218.21	$2,374.42	$3,067.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $47.14	Professional		$47.14	$47.14	$47.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $186.77 / $202.86	Professional		$132.63	$186.77	$202.86
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