Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.36 / $573.38 / $912.51	Facility		$358.36	$573.38	$912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.88 / $262.22 / $314.66	Professional		$229.88	$262.22	$314.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.05 / $489.46 / $618.82	Facility		$409.05	$489.46	$618.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.87 / $425.96 / $510.35	Professional		$405.87	$425.96	$510.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $489.47 / $734.20	Professional		$349.62	$489.47	$734.20
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 $475.48 / $475.48 / $524.42	Professional		$475.48	$475.48	$524.42
United Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $367.10 / $863.56	Facility		$349.62	$367.10	$863.56
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $209.77 / $350.16	Professional		$146.84	$209.77	$350.16