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 / $277.75	Professional		$248.68	$264.83	$277.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.86 / $452.14 / $571.63	Facility		$377.86	$452.14	$571.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.62 / $802.21 / $1,486.09	Facility		$362.62	$802.21	$1,486.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.26 / $393.59 / $491.99	Professional		$355.26	$393.59	$491.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $436.00 / $578.11	Professional		$258.37	$436.00	$578.11
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 $221.55 / $322.95 / $403.70	Professional		$221.55	$322.95	$403.70
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $197.37 / $358.85	Professional		$135.63	$197.37	$358.85