Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $980.96 / $1,287.68	Facility		$45.00	$980.96	$1,287.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.00 / $1,200.00	Professional		$33.81	$45.00	$1,200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.60 / $856.96 / $955.84	Professional		$741.60	$856.96	$955.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $945.00 / $1,275.00	Professional		$675.00	$945.00	$1,275.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $404.65 / $856.80 / $1,392.00	Professional		$404.65	$856.80	$1,392.00
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 $612.00 / $612.00 / $720.00	Professional		$612.00	$612.00	$720.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $432.94 / $447.82 / $493.92	Professional		$432.94	$447.82	$493.92
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $58.35 / $79.20	Professional		$43.00	$58.35	$79.20