Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.35 / $927.52 / $1,273.94	Facility		$475.35	$927.52	$1,273.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.92 / $304.92 / $417.38	Professional		$304.92	$304.92	$417.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $82.02 / $542.59	Facility		$33.81	$82.02	$542.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.75 / $1,687.67 / $2,135.33	Facility		$638.75	$1,687.67	$2,135.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.14 / $565.40 / $706.75	Professional		$510.14	$565.40	$706.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $626.08 / $830.15	Professional		$345.40	$626.08	$830.15
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 / $579.70	Professional		$30.00	$30.00	$579.70
United Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $278.26 / $463.76	Professional		$194.78	$278.26	$463.76