Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,023.29	Professional		$501.19	$776.25	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $97.72	Professional		$70.79	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $4,073.80 / $5,128.61	Professional		$72.44	$4,073.80	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $346.74	Professional		$151.36	$251.19	$346.74
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 $114.82 / $114.82 / $165.96	Professional		$114.82	$114.82	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $81.28 / $2,454.71	Facility		$67.61	$81.28	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $177.83	Professional		$41.69	$83.18	$177.83