Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $831.76	Facility		$281.84	$457.09	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $302.00	Professional		$181.97	$223.87	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $371.54 / $446.68	Facility		$331.13	$371.54	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $512.86 / $1,258.93	Facility		$177.83	$512.86	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $398.11	Professional		$316.23	$331.13	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $512.86	Professional		$218.78	$371.54	$512.86
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 $275.42 / $275.42 / $549.54	Facility		$275.42	$275.42	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $275.42	Professional		$114.82	$165.96	$275.42