Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.04 / $576.92 / $929.50	Facility		$365.04	$576.92	$929.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.16 / $292.02 / $320.52	Professional		$234.16	$292.02	$320.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.67 / $498.58 / $630.35	Facility		$416.67	$498.58	$630.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $541.32	Professional		$356.13	$356.13	$541.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.01 / $870.76 / $1,639.47	Facility		$452.01	$870.76	$1,639.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.36 / $433.84 / $519.79	Professional		$427.36	$433.84	$519.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $498.58 / $747.87	Professional		$356.13	$498.58	$747.87
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 $484.34 / $484.34 / $523.51	Professional		$484.34	$484.34	$523.51
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $213.68 / $356.13	Professional		$149.57	$213.68	$356.13