Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $851.14 / $1,445.44	Facility		$501.19	$851.14	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $501.19	Professional		$323.59	$398.11	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $660.69 / $794.33	Facility		$588.84	$660.69	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,238.72	Facility		$316.23	$912.01	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $707.95	Professional		$562.34	$588.84	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $891.25	Professional		$346.74	$660.69	$891.25
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $977.24	Facility		$489.78	$489.78	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $489.78	Professional		$204.17	$295.12	$489.78