Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $452.61 / $738.32	Facility		$231.96	$452.61	$738.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $231.96 / $254.59	Professional		$212.16	$231.96	$254.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.96 / $396.03 / $500.69	Facility		$330.96	$396.03	$500.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.95 / $676.64 / $1,302.94	Facility		$358.95	$676.64	$1,302.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.46 / $344.97 / $413.31	Professional		$339.46	$344.97	$413.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $396.03 / $594.04	Professional		$282.88	$396.03	$594.04
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 $30.00 / $30.00 / $415.83	Professional		$30.00	$30.00	$415.83
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $282.88	Professional		$118.81	$169.73	$282.88