Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.61 / $865.58 / $1,411.98	Facility		$443.61	$865.58	$1,411.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.70 / $443.61 / $465.25	Professional		$355.70	$443.61	$465.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.95 / $757.38 / $957.55	Facility		$632.95	$757.38	$957.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.55 / $1,294.04 / $2,489.73	Facility		$607.55	$1,294.04	$2,489.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.99 / $621.57 / $776.96	Professional		$540.99	$621.57	$776.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $730.34 / $968.40	Professional		$345.40	$730.34	$968.40
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 $270.50 / $371.12 / $676.24	Professional		$270.50	$371.12	$676.24
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $324.58 / $568.58	Professional		$227.22	$324.58	$568.58