Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $674.41 / $885.28	Facility		$45.00	$674.41	$885.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.00 / $825.00	Professional		$33.81	$45.00	$825.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.79 / $558.57 / $657.14	Professional		$500.79	$558.57	$657.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $630.00 / $850.00	Professional		$450.00	$630.00	$850.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $309.16 / $589.04 / $957.00	Professional		$309.16	$589.04	$957.00
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 $420.75 / $420.75 / $495.00	Professional		$420.75	$420.75	$495.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $299.24 / $330.05	Professional		$289.30	$299.24	$330.05
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.40 / $79.16	Professional		$40.00	$58.40	$79.16