Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $77.00	Professional		$70.00	$70.00	$77.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $1,000.00 / $2,002.50	Facility		$467.50	$1,000.00	$2,002.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $125.00 / $125.00	Professional		$106.25	$125.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.18 / $351.82 / $418.92	Professional		$303.18	$351.82	$418.92
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 $284.62 / $284.62 / $2,500.00	Professional		$284.62	$284.62	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $173.00 / $192.00	Professional		$131.00	$173.00	$192.00