Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $306.55 / $402.40	Facility		$45.00	$306.55	$402.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.00 / $375.00	Professional		$33.81	$45.00	$375.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $253.89 / $298.70	Professional		$227.63	$253.89	$298.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $252.00 / $340.00	Professional		$180.00	$252.00	$340.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $275.00 / $435.00	Professional		$142.03	$275.00	$435.00
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 $191.25 / $191.25 / $225.00	Professional		$191.25	$191.25	$225.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $120.94 / $133.40	Professional		$116.93	$120.94	$133.40
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $58.40 / $79.16	Professional		$42.00	$58.40	$79.16