Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $116.07 / $298.14	Facility		$45.60	$116.07	$298.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $87.35 / $106.08	Professional		$74.02	$87.35	$106.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $67.25 / $249.87	Facility		$24.25	$67.25	$249.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.60 / $219.40 / $257.00	Professional		$179.60	$219.40	$257.00
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00