Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.68 / $376.85 / $532.11	Facility		$223.68	$376.85	$532.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $135.19 / $197.54	Professional		$135.19	$135.19	$197.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.89 / $345.68 / $437.04	Facility		$288.89	$345.68	$437.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.72 / $590.64 / $1,136.16	Facility		$217.72	$590.64	$1,136.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.08 / $283.73 / $354.66	Professional		$213.08	$283.73	$354.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $333.34 / $432.11	Professional		$197.54	$333.34	$432.11
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 $123.46 / $169.39 / $308.64	Professional		$123.46	$169.39	$308.64
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $116.23 / $216.12	Professional		$81.36	$116.23	$216.12