Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $776.25	Professional		$457.09	$524.81	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $616.60 / $812.83	Professional		$69.18	$616.60	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $199.53	Professional		$100.00	$117.49	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $977.24	Professional		$97.72	$97.72	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $295.12 / $549.54	Facility		$50.12	$295.12	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $758.58	Professional		$323.59	$446.68	$758.58