Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.94 / $323.86 / $588.38	Professional		$184.94	$323.86	$588.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.34 / $393.21 / $628.80	Professional		$251.34	$393.21	$628.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $366.47 / $650.48	Professional		$212.00	$366.47	$650.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $506.36 / $933.51	Professional		$247.96	$506.36	$933.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $262.93 / $264.99 / $506.36	Professional		$262.93	$264.99	$506.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $584.27	Professional		$32.34	$32.34	$584.27
United Facility/Professional Professional Modifier Low / Median / High Price $374.57 / $522.40 / $939.19	Professional		$374.57	$522.40	$939.19