Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.61 / $416.80 / $679.91	Facility		$213.61	$416.80	$679.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $213.61 / $234.45	Professional		$195.38	$213.61	$234.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.77 / $364.70 / $461.08	Facility		$304.77	$364.70	$461.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.75 / $623.13 / $1,198.70	Facility		$292.75	$623.13	$1,198.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.60 / $317.39 / $380.27	Professional		$312.60	$317.39	$380.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $364.70 / $547.04	Professional		$260.50	$364.70	$547.04
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 $338.65 / $338.65 / $338.65	Professional		$338.65	$338.65	$338.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.28 / $354.28 / $382.94	Professional		$354.28	$354.28	$382.94
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $260.50	Professional		$109.41	$156.30	$260.50