Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $55.15 / $72.39	Facility		$55.15	$55.15	$72.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $58.60	Professional		$55.15	$55.15	$58.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.77 / $221.21 / $1,096.23	Facility		$144.77	$221.21	$1,096.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $102.44 / $168.20	Professional		$91.02	$102.44	$168.20
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $73.15	Professional		$68.94	$68.94	$73.15