Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.36 / $919.72 / $1,263.25	Facility		$471.36	$919.72	$1,263.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $302.36 / $413.87	Professional		$302.36	$302.36	$413.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.03 / $643.79 / $813.95	Facility		$538.03	$643.79	$813.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.39 / $1,673.37 / $2,117.46	Facility		$633.39	$1,673.37	$2,117.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.85 / $560.44 / $700.55	Professional		$505.85	$560.44	$700.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $620.80 / $823.17	Professional		$345.40	$620.80	$823.17
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 / $315.45	Professional		$30.00	$30.00	$315.45
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $275.92 / $459.86	Professional		$193.14	$275.92	$459.86