Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.11 / $295.11 / $295.11	Facility		$295.11	$295.11	$295.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $338.40 / $820.12	Professional		$295.11	$338.40	$820.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,993.13 / $2,493.94 / $3,067.69	Facility		$1,993.13	$2,493.94	$3,067.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.20 / $689.20 / $689.20	Professional		$689.20	$689.20	$689.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $2,165.35 / $2,865.13	Professional		$345.40	$2,165.35	$2,865.13
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