Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.35 / $1,527.39 / $2,391.17	Professional		$875.35	$1,527.39	$2,391.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.93 / $197.93 / $197.93	Professional		$197.93	$197.93	$197.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $3,023.21	Facility		$2,217.64	$2,217.64	$3,023.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,217.64 / $3,059.25	Professional		$1,884.99	$2,217.64	$3,059.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $263.89 / $316.68	Professional		$200.00	$263.89	$316.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,964.24 / $1,964.24 / $1,964.24	Professional		$1,964.24	$1,964.24	$1,964.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.39 / $1,324.07 / $2,758.48	Professional		$1,103.39	$1,324.07	$2,758.48