Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.13 / $98.13 / $2,893.86	Facility		$98.13	$98.13	$2,893.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $105.78 / $152.10	Professional		$93.21	$105.78	$152.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $1,277.50 / $4,394.60	Facility		$407.50	$1,277.50	$4,394.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $365.00 / $365.00	Professional		$365.00	$365.00	$365.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $110.69 / $110.69	Professional		$110.69	$110.69	$110.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $354.54 / $399.16	Professional		$197.28	$354.54	$399.16
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