Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.43 / $189.43 / $189.43	Facility		$189.43	$189.43	$189.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $189.43 / $237.37	Professional		$157.03	$189.43	$237.37
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 $157.43 / $157.43 / $157.43	Professional		$157.43	$157.43	$157.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $473.51 / $639.66	Professional		$232.19	$473.51	$639.66
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