Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $101.39 / $101.39	Facility		$101.39	$101.39	$101.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $161.27 / $267.49	Professional		$101.39	$161.27	$267.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.27 / $459.00 / $1,837.16	Facility		$273.27	$459.00	$1,837.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $141.49 / $141.49	Professional		$141.49	$141.49	$141.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $263.76 / $411.02	Professional		$195.98	$263.76	$411.02