Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $718.00 / $1,857.49	Facility		$718.00	$718.00	$1,857.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $718.00 / $762.88	Professional		$718.00	$718.00	$762.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.58 / $1,107.75 / $7,336.56	Facility		$618.58	$1,107.75	$7,336.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Professional		$762.88	$762.88	$762.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $994.15 / $1,255.53	Professional		$345.40	$994.15	$1,255.53
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,997.50 / $1,997.50 / $2,078.00	Professional		$1,997.50	$1,997.50	$2,078.00