Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.62 / $935.84 / $1,526.59	Facility		$479.62	$935.84	$1,526.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $479.62 / $526.41	Professional		$438.68	$479.62	$526.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.33 / $818.86 / $1,035.27	Facility		$684.33	$818.86	$1,035.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.37 / $1,280.31 / $2,692.24	Facility		$741.37	$1,280.31	$2,692.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $712.27 / $853.38	Professional		$701.88	$712.27	$853.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $818.86 / $1,228.29	Professional		$584.90	$818.86	$1,228.29
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 $795.46 / $795.46 / $877.35	Professional		$795.46	$795.46	$877.35
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $602.45	Professional		$245.66	$350.94	$602.45