Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.22 / $113.22 / $113.22	Facility		$113.22	$113.22	$113.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $127.56 / $175.49	Professional		$113.22	$127.56	$175.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $1,470.00 / $5,056.80	Facility		$407.50	$1,470.00	$5,056.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $420.00 / $420.00	Professional		$420.00	$420.00	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $139.03 / $139.03	Professional		$139.03	$139.03	$139.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $444.55 / $500.50	Professional		$203.99	$444.55	$500.50
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