Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $504.00	Facility		$384.00	$384.00	$504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $408.00	Professional		$384.00	$384.00	$408.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $1,283.52 / $6,360.48	Facility		$840.00	$1,283.52	$6,360.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $467.03 / $589.82	Professional		$345.40	$467.03	$589.82
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 $480.00 / $480.00 / $509.28	Professional		$480.00	$480.00	$509.28