Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.16 / $146.66 / $239.23	Facility		$75.16	$146.66	$239.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $75.16 / $82.49	Professional		$70.58	$75.16	$82.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $128.32 / $162.22	Facility		$107.24	$128.32	$162.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $227.81 / $421.41	Facility		$126.25	$227.81	$421.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $111.63 / $133.75	Professional		$109.99	$111.63	$133.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $128.32 / $206.24	Professional		$96.24	$128.32	$206.24
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 $124.66 / $124.66 / $137.49	Professional		$124.66	$124.66	$137.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $62.24 / $107.04	Professional		$38.50	$62.24	$107.04