Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $551.79 / $724.32	Facility		$45.00	$551.79	$724.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $672.21	Professional		$35.00	$45.00	$672.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.73 / $482.04 / $537.66	Professional		$409.73	$482.04	$537.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $504.00 / $680.00	Professional		$360.00	$504.00	$680.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.84 / $428.40 / $718.36	Professional		$224.84	$428.40	$718.36
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 $306.00 / $306.00 / $360.00	Professional		$306.00	$306.00	$360.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.11 / $210.09 / $231.72	Professional		$203.11	$210.09	$231.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $55.00 / $75.19	Professional		$40.00	$55.00	$75.19