Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.53 / $812.70 / $1,083.59	Professional		$460.53	$812.70	$1,083.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $106.73 / $106.73	Professional		$69.51	$106.73	$106.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $1,176.89	Facility		$450.00	$450.00	$1,176.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $450.00 / $1,410.00	Professional		$105.60	$450.00	$1,410.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $178.22 / $200.00	Professional		$100.00	$178.22	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $160.10 / $213.47	Professional		$160.10	$160.10	$213.47
United Facility/Professional Professional Modifier Low / Median / High Price $464.71 / $618.44 / $1,142.99	Professional		$464.71	$618.44	$1,142.99