Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $229.94 / $661.12	Facility		$67.48	$229.94	$661.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $2,126.41	Professional		$44.59	$44.59	$2,126.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $117.60	Facility		$94.50	$94.50	$117.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $343.67 / $343.67	Professional		$343.67	$343.67	$343.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $118.69 / $178.04	Professional		$96.50	$118.69	$178.04
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $141.49 / $154.30	Professional		$139.38	$141.49	$154.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00