Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $630.96 / $676.08	Facility		$295.12	$630.96	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $398.11	Professional		$295.12	$302.00	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,380.38 / $4,897.79	Facility		$354.81	$1,380.38	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $537.03	Professional		$120.23	$199.53	$537.03
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 $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Facility		$177.83	$177.83	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $331.13	Professional		$302.00	$302.00	$331.13