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 $492.35 / $775.08 / $1,005.44	Professional		$492.35	$775.08	$1,005.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $91.87 / $91.87	Professional		$72.53	$91.87	$91.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$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 $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$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 $87.82 / $119.44 / $131.72	Professional		$87.82	$119.44	$131.72
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $103.90 / $363.50	Professional		$60.85	$103.90	$363.50