Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.47 / $395.07 / $644.46	Facility		$202.47	$395.07	$644.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.35 / $202.47 / $212.35	Professional		$162.35	$202.47	$212.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.89 / $345.68 / $437.04	Facility		$288.89	$345.68	$437.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.30 / $590.64 / $1,136.16	Facility		$277.30	$590.64	$1,136.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $301.08 / $376.35	Professional		$271.61	$301.08	$376.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $197.54 / $333.34 / $442.00	Professional		$197.54	$333.34	$442.00
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 $123.46 / $169.39 / $246.92	Professional		$123.46	$169.39	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $148.15 / $246.92	Professional		$103.71	$148.15	$246.92