Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.20 / $824.90 / $1,329.01	Facility		$509.20	$824.90	$1,329.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.80 / $417.54 / $432.82	Professional		$334.80	$417.54	$432.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.76 / $712.88 / $901.28	Facility		$595.76	$712.88	$901.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.81 / $1,265.15 / $2,343.80	Facility		$355.81	$1,265.15	$2,343.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.12 / $620.74 / $775.93	Professional		$560.12	$620.74	$775.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $687.42 / $911.49	Professional		$345.40	$687.42	$911.49
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 $254.60 / $349.31 / $636.50	Professional		$254.60	$349.31	$636.50
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $305.52 / $509.20	Professional		$213.86	$305.52	$509.20