Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $618.45	Facility		$80.04	$80.04	$618.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $88.04	Professional		$80.04	$80.04	$88.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,236.90 / $1,889.98 / $9,365.79	Facility		$1,236.90	$1,889.98	$9,365.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $105.71	Professional		$80.04	$80.04	$105.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $92.05 / $204.18	Professional		$68.03	$92.05	$204.18
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.05 / $104.05 / $104.05	Professional		$104.05	$104.05	$104.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $117.66	Professional		$30.00	$40.00	$117.66
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $87.75	Professional		$80.04	$80.04	$87.75