Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.66 / $753.66 / $753.66	Facility		$753.66	$753.66	$753.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $775.08 / $1,005.44	Professional		$492.35	$775.08	$1,005.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $98.63 / $98.63	Professional		$70.42	$98.63	$98.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $4,077.00 / $5,177.79	Professional		$71.76	$4,077.00	$5,177.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $251.68 / $345.40	Professional		$120.00	$251.68	$345.40
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 $115.85 / $115.85 / $173.77	Professional		$115.85	$115.85	$173.77
United Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $77.62 / $173.32	Professional		$46.30	$77.62	$173.32