Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $707.95	Professional		$363.08	$489.78	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $575.44	Professional		$169.82	$199.53	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $199.53	Professional		$100.00	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $354.81 / $794.33	Facility		$39.81	$354.81	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $812.83	Professional		$416.87	$524.81	$812.83