Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.11 / $108.11 / $108.11	Facility		$108.11	$108.11	$108.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $119.37 / $222.06	Professional		$108.11	$119.37	$222.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.34 / $1,004.81 / $1,298.18	Facility		$515.34	$1,004.81	$1,298.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $186.58 / $186.58	Professional		$186.58	$186.58	$186.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.37 / $559.61 / $755.97	Professional		$274.37	$559.61	$755.97
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