Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $130.19 / $130.19	Facility		$130.19	$130.19	$130.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $793.36 / $949.32 / $1,200.21	Facility		$793.36	$949.32	$1,200.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $711.43 / $1,923.63	Facility		$370.00	$711.43	$1,923.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$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
United Facility/Professional Facility Modifier Low / Median / High Price $780.60 / $780.60 / $1,040.80	Facility		$780.60	$780.60	$1,040.80