Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $47.25	Facility		$36.00	$36.00	$47.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $38.25	Professional		$36.00	$36.00	$38.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.08 / $333.48 / $617.40	Facility		$157.08	$333.48	$617.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $1,059.82 / $1,279.20	Professional		$200.00	$1,059.82	$1,279.20
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
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $41.11	Professional		$37.50	$37.50	$41.11