Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $724.44	Professional		$363.08	$457.09	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $891.25	Facility		$275.42	$275.42	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $891.25	Professional		$204.17	$275.42	$891.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $100.00	Professional		$61.66	$77.62	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $275.42 / $616.60	Facility		$30.90	$275.42	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $676.08	Professional		$302.00	$398.11	$676.08