Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.38 / $985.24 / $1,587.32	Facility		$623.38	$985.24	$1,587.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.87 / $498.70 / $547.35	Professional		$399.87	$498.70	$547.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.55 / $851.43 / $1,076.46	Facility		$711.55	$851.43	$1,076.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.96 / $1,454.74 / $2,799.45	Facility		$682.96	$1,454.74	$2,799.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $740.72 / $887.47	Professional		$729.80	$740.72	$887.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $851.44 / $1,277.16	Professional		$608.16	$851.44	$1,277.16
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $790.62 / $790.62 / $790.62	Professional		$790.62	$790.62	$790.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $827.11 / $827.11 / $912.26	Professional		$827.11	$827.11	$912.26
United Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $638.58 / $1,502.18	Facility		$608.16	$638.58	$1,502.18
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $364.90 / $608.16	Professional		$255.43	$364.90	$608.16