Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $516.74 / $842.93	Facility		$264.83	$516.74	$842.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $264.83 / $306.81	Professional		$248.68	$264.83	$306.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.86 / $452.14 / $571.63	Facility		$377.86	$452.14	$571.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $322.95 / $490.90	Professional		$322.95	$322.95	$490.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.82 / $802.21 / $1,486.09	Facility		$444.82	$802.21	$1,486.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $393.13 / $471.01	Professional		$387.55	$393.13	$471.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $452.14 / $678.22	Professional		$322.95	$452.14	$678.22
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 $439.23 / $439.23 / $484.44	Professional		$439.23	$439.23	$484.44
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $197.37 / $352.80	Professional		$135.63	$197.37	$352.80