Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $674.41 / $885.28	Facility		$45.00	$674.41	$885.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $45.00 / $825.00	Professional		$33.81	$45.00	$825.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.79 / $589.16 / $657.14	Professional		$500.79	$589.16	$657.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $630.00 / $850.00	Professional		$450.00	$630.00	$850.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $252.95 / $481.95 / $808.16	Professional		$252.95	$481.95	$808.16
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 $344.25 / $344.25 / $405.00	Professional		$344.25	$344.25	$405.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.84 / $239.81 / $264.50	Professional		$231.84	$239.81	$264.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $58.35 / $79.20	Professional		$42.50	$58.35	$79.20