Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.43 / $468.85 / $685.70	Facility		$215.43	$468.85	$685.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $215.43 / $236.45	Professional		$202.29	$215.43	$236.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.38 / $367.80 / $465.01	Facility		$307.38	$367.80	$465.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.11 / $628.42 / $1,209.13	Facility		$344.11	$628.42	$1,209.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $320.02 / $383.42	Professional		$315.26	$320.02	$383.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $307.39 / $475.52	Professional		$125.00	$307.39	$475.52
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 / $357.30 / $394.08	Professional		$30.00	$357.30	$394.08
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $157.63 / $262.72	Professional		$110.34	$157.63	$262.72