Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.11 / $482.16 / $786.52	Facility		$247.11	$482.16	$786.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $247.11 / $271.22	Professional		$226.01	$247.11	$271.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.57 / $421.89 / $533.38	Facility		$352.57	$421.89	$533.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.21 / $736.87 / $1,387.81	Facility		$382.21	$736.87	$1,387.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $367.30 / $440.06	Professional		$361.62	$367.30	$440.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $421.89 / $632.84	Professional		$301.35	$421.89	$632.84
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 $409.84 / $409.84 / $442.98	Professional		$409.84	$409.84	$442.98
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $301.35	Professional		$126.57	$180.81	$301.35