Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.73 / $407.56 / $648.61	Facility		$254.73	$407.56	$648.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $198.81 / $254.73	Professional		$186.38	$198.81	$254.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.75 / $347.91 / $439.86	Facility		$290.75	$347.91	$439.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.98 / $543.85 / $1,143.60	Facility		$314.98	$543.85	$1,143.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $302.51 / $362.44	Professional		$298.20	$302.51	$362.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $347.91 / $521.87	Professional		$248.51	$347.91	$521.87
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 $337.97 / $337.97 / $372.77	Professional		$337.97	$337.97	$372.77
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $149.11 / $248.51	Professional		$104.37	$149.11	$248.51