Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $99.65 / $99.65	Facility		$99.65	$99.65	$99.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $67.13 / $87.60	Professional		$42.05	$67.13	$87.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $88.43 / $141.74	Professional		$86.24	$88.43	$141.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $28.63 / $57.07	Facility		$28.63	$28.63	$57.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $74.50 / $124.39	Professional		$28.63	$74.50	$124.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $95.78 / $178.54	Professional		$45.42	$95.78	$178.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $108.45 / $117.22	Professional		$32.34	$108.45	$117.22
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $56.44 / $108.07	Professional		$35.90	$56.44	$108.07