Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $68.13 / $414.75	Facility		$68.13	$68.13	$414.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $68.13 / $88.72	Professional		$68.13	$68.13	$88.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $178.13 / $1,537.55	Facility		$60.80	$178.13	$1,537.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Professional		$115.00	$115.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Professional		$35.29	$35.29	$35.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
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 / $30.00	Professional		$30.00	$30.00	$30.00