Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.13 / $98.13 / $98.13	Facility		$98.13	$98.13	$98.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $107.62 / $139.09	Professional		$98.13	$107.62	$139.09
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 $117.26 / $117.26 / $117.26	Professional		$117.26	$117.26	$117.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $374.74 / $421.91	Professional		$200.00	$374.74	$421.91
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