Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $245.24 / $321.92	Facility		$45.00	$245.24	$321.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.00 / $300.00	Professional		$33.81	$45.00	$300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $203.12 / $238.96	Professional		$182.10	$203.12	$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 $42.00 / $58.00 / $79.20	Professional		$42.00	$58.00	$79.20