Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,620.00 / $2,680.00	Facility		$800.00	$1,620.00	$2,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $850.00	Professional		$800.00	$800.00	$850.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $753.30 / $3,169.80	Facility		$432.00	$753.30	$3,169.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $2,126.51	Professional		$120.00	$345.40	$2,126.51
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 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $283.43	Professional		$212.00	$212.00	$283.43