Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $265.83 / $409.20	Facility		$122.15	$265.83	$409.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $122.15 / $158.99	Professional		$108.83	$122.15	$158.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.52 / $278.23 / $351.76	Facility		$232.52	$278.23	$351.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.73 / $434.80 / $914.29	Facility		$273.73	$434.80	$914.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.49 / $242.09 / $290.05	Professional		$238.49	$242.09	$290.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $268.30 / $397.48	Professional		$200.00	$268.30	$397.48
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 $270.29 / $270.29 / $298.11	Professional		$270.29	$270.29	$298.11
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $91.04 / $153.43	Professional		$62.56	$91.04	$153.43