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 $39.10 / $46.00 / $1,200.00	Professional		$39.10	$46.00	$1,200.00
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 $43.00 / $57.00 / $79.16	Professional		$43.00	$57.00	$79.16