Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.73 / $881.88 / $1,216.98	Professional		$499.73	$881.88	$1,216.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $115.82 / $115.82	Professional		$76.67	$115.82	$115.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $1,277.39	Facility		$707.88	$707.88	$1,277.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $707.88 / $1,563.75	Professional		$114.60	$707.88	$1,563.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $193.41 / $200.00	Professional		$100.00	$193.41	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.73 / $173.73 / $231.63	Professional		$173.73	$173.73	$231.63
United Facility/Professional Professional Modifier Low / Median / High Price $478.47 / $649.83 / $1,065.49	Professional		$478.47	$649.83	$1,065.49