Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $398.11	Professional		$223.87	$302.00	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,981.07 / $7,585.78	Facility		$1,479.11	$3,981.07	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $38.02	Professional		$32.36	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $524.81 / $741.31	Professional		$40.74	$524.81	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $346.74	Professional		$57.54	$125.89	$346.74
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 $47.86 / $47.86 / $478.63	Professional		$47.86	$47.86	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $52.48 / $371.54	Facility		$19.50	$52.48	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $380.19	Professional		$25.70	$38.02	$380.19