Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.02 / $2,989.00 / $7,407.00	Facility		$177.02	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $199.40 / $372.29	Professional		$177.02	$199.40	$372.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.50 / $2,109.28 / $7,079.52	Facility		$733.50	$2,109.28	$7,079.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $588.00 / $588.00	Professional		$588.00	$588.00	$588.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.08 / $217.08 / $217.08	Professional		$217.08	$217.08	$217.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $694.38 / $781.78	Professional		$319.39	$694.38	$781.78
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00