Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $429.17 / $563.36	Facility		$45.00	$429.17	$563.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $522.83	Professional		$35.00	$45.00	$522.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.68 / $374.92 / $418.18	Professional		$318.68	$374.92	$418.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $378.00 / $510.00	Professional		$270.00	$378.00	$510.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.84 / $374.85 / $609.00	Professional		$198.84	$374.85	$609.00
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 $267.75 / $267.75 / $315.00	Professional		$267.75	$267.75	$315.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $180.38 / $198.95	Professional		$174.38	$180.38	$198.95
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $58.35 / $79.00	Professional		$42.00	$58.35	$79.00