Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $185.43 / $239.21	Facility		$155.41	$185.43	$239.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $86.72 / $86.72	Professional		$86.72	$86.72	$86.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00