Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.10 / $258.10 / $258.10	Facility		$258.10	$258.10	$258.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.26 / $278.04 / $341.60	Professional		$225.26	$278.04	$341.60
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 $287.20 / $287.20 / $287.20	Professional		$287.20	$287.20	$287.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $902.23 / $1,193.80	Professional		$345.40	$902.23	$1,193.80
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