Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.70 / $600.40 / $979.40	Facility		$307.70	$600.40	$979.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.94 / $307.70 / $356.49	Professional		$288.94	$307.70	$356.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.04 / $525.35 / $664.19	Facility		$439.04	$525.35	$664.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.10 / $916.80 / $1,727.32	Facility		$476.10	$916.80	$1,727.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $457.04 / $547.59	Professional		$450.30	$457.04	$547.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $525.35 / $788.03	Professional		$375.25	$525.35	$788.03
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 $510.34 / $510.34 / $562.88	Professional		$510.34	$510.34	$562.88
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $225.15 / $375.25	Professional		$157.61	$225.15	$375.25