Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.12 / $872.40 / $1,291.66	Professional		$495.12	$872.40	$1,291.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $113.45 / $113.45	Professional		$113.45	$113.45	$113.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.26 / $642.26 / $1,525.68	Facility		$642.26	$642.26	$1,525.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.91 / $642.26 / $1,755.00	Professional		$545.91	$642.26	$1,755.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $156.44 / $200.00	Professional		$100.00	$156.44	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $226.89 / $1,111.04	Professional		$170.18	$226.89	$1,111.04
United Facility/Professional Professional Modifier Low / Median / High Price $630.20 / $844.78 / $1,453.29	Professional		$630.20	$844.78	$1,453.29