Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.66 / $753.66 / $805.35	Facility		$753.66	$753.66	$805.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.07 / $775.08 / $1,004.88	Professional		$427.07	$775.08	$1,004.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $141.18 / $141.18	Professional		$115.79	$141.18	$141.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $1,017.80	Facility		$64.00	$64.00	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $4,077.00	Professional		$750.60	$750.60	$4,077.00
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 $108.02 / $119.44 / $165.50	Professional		$108.02	$119.44	$165.50
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $103.90 / $199.28	Professional		$60.85	$103.90	$199.28