Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $2,989.00 / $7,407.00	Facility		$203.81	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $233.83 / $649.54	Professional		$203.81	$233.83	$649.54
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 $545.90 / $545.90 / $545.90	Professional		$545.90	$545.90	$545.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,664.33 / $2,209.78	Professional		$345.40	$1,664.33	$2,209.78
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