Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $367.86 / $482.88	Facility		$45.00	$367.86	$482.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.00 / $450.00	Professional		$33.81	$45.00	$450.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.16 / $321.36 / $358.44	Professional		$273.16	$321.36	$358.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $315.00 / $425.00	Professional		$225.00	$315.00	$425.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $330.00 / $522.00	Professional		$170.43	$330.00	$522.00
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 $229.50 / $229.50 / $270.00	Professional		$229.50	$229.50	$270.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $150.66 / $166.17	Professional		$145.66	$150.66	$166.17
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $58.35 / $79.16	Professional		$42.00	$58.35	$79.16