Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.40 / $1,025.17 / $1,672.31	Facility		$525.40	$1,025.17	$1,672.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.28 / $525.40 / $551.03	Professional		$421.28	$525.40	$551.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.65 / $897.02 / $1,134.08	Facility		$749.65	$897.02	$1,134.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.50 / $2,332.46 / $2,949.85	Facility		$882.50	$2,332.46	$2,949.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.63 / $709.13 / $886.41	Professional		$668.63	$709.13	$886.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $832.95 / $1,121.28	Professional		$345.40	$832.95	$1,121.28
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $439.54 / $800.91	Professional		$320.37	$439.54	$800.91
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $384.44 / $640.73	Professional		$269.11	$384.44	$640.73