Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.40 / $401.35 / $517.77	Facility		$336.40	$401.35	$517.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $95.78 / $95.78	Professional		$95.78	$95.78	$95.78
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00