Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.50 / $615.60 / $991.80	Facility		$389.50	$615.60	$991.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $311.60 / $695.40	Professional		$296.39	$311.60	$695.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.60 / $532.00 / $672.60	Facility		$444.60	$532.00	$672.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.65 / $832.06 / $1,749.66	Facility		$481.65	$832.06	$1,749.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $463.17 / $554.92	Professional		$456.00	$463.17	$554.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $532.00 / $798.00	Professional		$380.00	$532.00	$798.00
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 $516.79 / $516.79 / $570.00	Professional		$516.79	$516.79	$570.00
United Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $760.00 / $760.00	Facility		$159.60	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $228.00 / $380.00	Professional		$159.60	$228.00	$380.00