Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $489.78	Professional		$263.03	$309.03	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $691.83	Facility		$331.13	$331.13	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $575.44	Professional		$281.84	$331.13	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $77.62	Professional		$40.74	$51.29	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $204.17 / $512.86	Facility		$23.44	$204.17	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $467.74	Professional		$208.93	$302.00	$467.74