Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $464.33	Facility		$400.00	$400.00	$464.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $475.00	Professional		$400.00	$400.00	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $2,131.80 / $6,862.80	Facility		$912.00	$2,131.80	$6,862.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $770.25	Professional		$100.00	$345.40	$770.25
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 Professional Modifier Low / Median / High Price $500.00 / $500.00 / $548.16	Professional		$500.00	$500.00	$548.16