Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $490.48 / $643.84	Facility		$45.00	$490.48	$643.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $597.52	Professional		$35.00	$45.00	$597.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.21 / $428.48 / $477.92	Professional		$364.21	$428.48	$477.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $441.00 / $595.00	Professional		$315.00	$441.00	$595.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.84 / $428.40 / $696.00	Professional		$224.84	$428.40	$696.00
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 $306.00 / $306.00 / $360.00	Professional		$306.00	$306.00	$360.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.11 / $210.09 / $231.72	Professional		$203.11	$210.09	$231.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $55.00 / $75.19	Professional		$40.00	$55.00	$75.19