Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.24 / $451.58 / $718.66	Facility		$282.24	$451.58	$718.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $236.80 / $247.82	Professional		$220.28	$236.80	$247.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.14 / $385.49 / $487.36	Facility		$322.14	$385.49	$487.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.39 / $672.89 / $1,267.20	Facility		$349.39	$672.89	$1,267.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.42 / $335.34 / $401.77	Professional		$330.42	$335.34	$401.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.35 / $385.49 / $578.24	Professional		$275.35	$385.49	$578.24
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 $374.48 / $374.48 / $404.76	Professional		$374.48	$374.48	$404.76
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $165.21 / $275.35	Professional		$115.65	$165.21	$275.35