Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $798.27 / $955.20 / $1,207.65	Facility		$798.27	$955.20	$1,207.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $864.81 / $1,493.46 / $3,140.45	Facility		$864.81	$1,493.46	$3,140.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.75 / $830.91 / $995.52	Professional		$818.75	$830.91	$995.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $955.21 / $1,432.81	Professional		$682.29	$955.21	$1,432.81
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 $927.91 / $927.91 / $1,023.44	Professional		$927.91	$927.91	$1,023.44
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $409.37 / $691.18	Professional		$286.56	$409.37	$691.18