Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.08 / $221.08 / $221.08	Facility		$221.08	$221.08	$221.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $247.87 / $461.20	Professional		$221.08	$247.87	$461.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $2,115.44 / $2,733.09	Facility		$897.18	$2,115.44	$2,733.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.66 / $387.66 / $387.66	Professional		$387.66	$387.66	$387.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,119.60 / $1,394.88	Professional		$345.40	$1,119.60	$1,394.88
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