Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Facility		$21.99	$21.99	$21.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $26.29 / $38.70	Professional		$21.99	$26.29	$38.70
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 $36.59 / $36.59 / $39.01	Professional		$36.59	$36.59	$39.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $128.29 / $138.59	Professional		$101.63	$128.29	$138.59
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