Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $80.42 / $150.00	Facility		$43.47	$80.42	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $57.45 / $80.43	Professional		$49.28	$57.45	$80.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $190.00 / $190.00	Professional		$120.00	$190.00	$190.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $61.74	Professional		$14.25	$14.25	$61.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $98.85 / $205.70	Professional		$75.65	$98.85	$205.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $1,500.00 / $2,500.00	Professional		$45.31	$1,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00