Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.64 / $35.64 / $35.64	Facility		$35.64	$35.64	$35.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $22.47 / $46.20	Professional		$22.47	$22.47	$46.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.30 / $15.36	Professional		$10.54	$13.30	$15.36
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 / $2,500.00	Professional		$30.00	$30.00	$2,500.00