Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,404.00 / $9,600.00 / $19,224.00	Facility		$4,404.00	$9,600.00	$19,224.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,200.00	Facility		$1,150.00	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $16.73 / $20.76	Professional		$15.52	$16.73	$20.76
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 $39.88 / $56.98 / $569.80	Professional		$39.88	$56.98	$569.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $438.22 / $466.20	Professional		$109.02	$438.22	$466.20