Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.24 / $624.38 / $993.68	Facility		$390.24	$624.38	$993.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $312.19 / $533.01	Professional		$250.32	$312.19	$533.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.44 / $533.00 / $673.87	Facility		$445.44	$533.00	$673.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $946.22 / $1,752.64	Facility		$266.02	$946.22	$1,752.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.79 / $463.80 / $579.75	Professional		$418.79	$463.80	$579.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $513.97 / $681.51	Professional		$304.58	$513.97	$681.51
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 $190.36 / $261.17 / $475.90	Professional		$190.36	$261.17	$475.90
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $228.43 / $380.72	Professional		$159.90	$228.43	$380.72