Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $891.25	Professional		$467.74	$549.54	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $954.99	Facility		$457.09	$457.09	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $457.09 / $1,122.02	Professional		$83.18	$457.09	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $199.53	Professional		$97.72	$97.72	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $436.52 / $851.14	Facility		$51.29	$436.52	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,071.52	Professional		$446.68	$691.83	$1,071.52