Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.19 / $790.70 / $1,258.39	Facility		$494.19	$790.70	$1,258.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.31 / $136.31 / $361.61	Professional		$136.31	$136.31	$361.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.10 / $674.99 / $853.38	Facility		$564.10	$674.99	$853.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.60 / $1,153.28 / $2,220.21	Facility		$506.60	$1,153.28	$2,220.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.57 / $587.50 / $703.89	Professional		$578.57	$587.50	$703.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $675.00 / $1,012.49	Professional		$482.14	$675.00	$1,012.49
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 $655.71 / $655.71 / $723.21	Professional		$655.71	$655.71	$723.21
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $289.27	Professional		$87.07	$124.39	$289.27