Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.32 / $644.91 / $943.18	Facility		$296.32	$644.91	$943.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.26 / $296.32 / $325.23	Professional		$278.26	$296.32	$325.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.80 / $505.91 / $639.62	Facility		$422.80	$505.91	$639.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.69 / $864.40 / $1,663.29	Facility		$473.69	$864.40	$1,663.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.64 / $439.97 / $527.13	Professional		$433.64	$439.97	$527.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $397.51 / $654.08	Professional		$125.00	$397.51	$654.08
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 / $491.46 / $542.05	Professional		$30.00	$491.46	$542.05
United Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $216.82 / $361.37	Professional		$151.78	$216.82	$361.37