Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.76 / $666.85 / $1,087.80	Facility		$341.76	$666.85	$1,087.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $341.76 / $375.10	Professional		$312.58	$341.76	$375.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.63 / $583.49 / $737.70	Facility		$487.63	$583.49	$737.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.18 / $996.95 / $1,917.92	Facility		$468.18	$996.95	$1,917.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $507.39 / $607.91	Professional		$500.14	$507.39	$607.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $583.49 / $875.24	Professional		$416.78	$583.49	$875.24
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 $541.80 / $541.80 / $541.80	Professional		$541.80	$541.80	$541.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $566.82 / $566.82 / $625.16	Professional		$566.82	$566.82	$625.16
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $416.78	Professional		$175.05	$250.07	$416.78