Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,584.89	Professional		$851.14	$1,000.00	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,995.26	Professional		$954.99	$1,122.02	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $204.17	Professional		$134.90	$169.82	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $602.56 / $1,445.44	Facility		$66.07	$602.56	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,479.11	Professional		$660.69	$870.96	$1,479.11