Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.83 / $754.02 / $1,090.83	Facility		$477.83	$754.02	$1,090.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.51 / $363.61 / $419.55	Professional		$306.51	$363.61	$419.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.41 / $652.63 / $825.12	Facility		$545.41	$652.63	$825.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.58 / $708.58 / $708.58	Professional		$708.58	$708.58	$708.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.08 / $1,139.40 / $2,145.75	Facility		$642.08	$1,139.40	$2,145.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.40 / $567.79 / $680.29	Professional		$559.40	$567.79	$680.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $652.64 / $978.96	Professional		$466.17	$652.64	$978.96
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 $633.99 / $633.99 / $699.26	Professional		$633.99	$633.99	$699.26
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $279.70 / $466.88	Professional		$195.79	$279.70	$466.88