Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.58 / $586.52 / $933.41	Facility		$366.58	$586.52	$933.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $307.56	Professional		$4.78	$4.78	$307.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.42 / $500.68 / $633.00	Facility		$418.42	$500.68	$633.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $888.45 / $1,646.91	Facility		$249.90	$888.45	$1,646.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.39 / $435.72 / $544.65	Professional		$393.39	$435.72	$544.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $286.10 / $482.80 / $640.16	Professional		$286.10	$482.80	$640.16
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 $178.82 / $245.33 / $447.04	Professional		$178.82	$245.33	$447.04
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $214.58 / $357.63	Professional		$150.19	$214.58	$357.63