Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.03 / $2,989.00 / $7,407.00	Facility		$148.03	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $169.58 / $229.44	Professional		$148.03	$169.58	$229.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.95 / $1,723.28 / $5,719.00	Facility		$594.95	$1,723.28	$5,719.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $475.00 / $475.00	Professional		$475.00	$475.00	$475.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $185.10 / $185.10	Professional		$185.10	$185.10	$185.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.24 / $591.51 / $665.96	Professional		$271.24	$591.51	$665.96
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