Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $36.79	Facility		$36.79	$36.79	$36.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $42.69 / $57.94	Professional		$36.42	$42.69	$57.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.76 / $345.70 / $445.98	Facility		$289.76	$345.70	$445.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $54.34 / $57.07	Professional		$54.34	$54.34	$57.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.01 / $193.74 / $205.78	Professional		$161.01	$193.74	$205.78
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00