Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.58 / $157.58 / $238.95	Facility		$157.58	$157.58	$238.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $157.58 / $209.30	Professional		$115.54	$157.58	$209.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $543.50 / $656.00	Professional		$345.40	$543.50	$656.00
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 $300.00 / $300.00 / $328.90	Professional		$300.00	$300.00	$328.90