Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $457.09	Professional		$234.42	$288.40	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $645.65	Facility		$302.00	$302.00	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $524.81	Professional		$257.04	$302.00	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $69.18	Professional		$36.31	$45.71	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $199.53 / $501.19	Facility		$25.70	$199.53	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $501.19	Professional		$223.87	$346.74	$501.19