Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.02 / $130.02 / $130.02	Facility		$130.02	$130.02	$130.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $131.69 / $185.30	Professional		$106.65	$131.69	$185.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $2,115.44 / $2,733.09	Facility		$897.18	$2,115.44	$2,733.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $100.46 / $100.46	Professional		$100.46	$100.46	$100.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $306.58 / $407.06	Professional		$150.00	$306.58	$407.06
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00