Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $84.96 / $136.38	Professional		$50.88	$84.96	$136.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Professional		$10.83	$10.83	$10.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $178.01	Facility		$94.65	$94.65	$178.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $97.49 / $165.75	Professional		$80.45	$97.49	$165.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $14.44 / $24.13	Professional		$12.27	$14.44	$24.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $132.46 / $132.46	Professional		$132.46	$132.46	$132.46
United Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $83.50 / $141.10	Professional		$58.82	$83.50	$141.10