Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $245.24 / $321.92	Facility		$28.72	$245.24	$321.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $288.00	Professional		$35.00	$45.00	$288.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $214.24 / $238.96	Professional		$182.10	$214.24	$238.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $189.00 / $255.00	Professional		$135.00	$189.00	$255.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $220.00 / $348.00	Professional		$113.62	$220.00	$348.00
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 $153.00 / $153.00 / $180.00	Professional		$153.00	$153.00	$180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $91.23 / $100.62	Professional		$88.20	$91.23	$100.62
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $60.00 / $87.90	Professional		$43.00	$60.00	$87.90