Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $724.44	Professional		$407.38	$478.63	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $602.56 / $676.08	Professional		$50.12	$602.56	$676.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $199.53	Professional		$64.57	$120.23	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $870.96	Professional		$87.10	$87.10	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $323.59 / $588.84	Facility		$43.65	$323.59	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $812.83	Professional		$338.84	$467.74	$812.83