Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.30 / $114.30 / $114.30	Facility		$114.30	$114.30	$114.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $140.16 / $288.87	Professional		$114.30	$140.16	$288.87
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 $230.57 / $230.57 / $230.57	Professional		$230.57	$230.57	$230.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $541.26 / $948.81	Professional		$345.40	$541.26	$948.81
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