Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.15 / $672.24 / $1,069.83	Facility		$420.15	$672.24	$1,069.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.45 / $368.91 / $389.41	Professional		$299.45	$368.91	$389.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.58 / $573.86 / $725.52	Facility		$479.58	$573.86	$725.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.59 / $1,018.63 / $1,886.65	Facility		$564.59	$1,018.63	$1,886.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $499.07 / $597.94	Professional		$491.88	$499.07	$597.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $573.86 / $860.79	Professional		$409.90	$573.86	$860.79
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 $557.46 / $557.46 / $614.85	Professional		$557.46	$557.46	$614.85
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $250.50 / $455.45	Professional		$172.16	$250.50	$455.45