Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $1,380.38	Facility		$467.74	$794.33	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $524.81	Professional		$302.00	$380.19	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $616.60 / $741.31	Facility		$549.54	$616.60	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $851.14 / $2,137.96	Facility		$302.00	$851.14	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $707.95	Professional		$524.81	$562.34	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $831.76	Professional		$346.74	$602.56	$831.76
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 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $457.09 / $912.01	Facility		$346.74	$457.09	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $457.09	Professional		$194.98	$275.42	$457.09