Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $301.26 / $396.32	Professional		$174.83	$301.26	$396.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Professional		$37.88	$37.88	$37.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $238.50 / $474.74	Facility		$235.00	$238.50	$474.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $238.50 / $615.00	Professional		$202.73	$238.50	$615.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $100.00 / $200.00	Professional		$57.68	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.82 / $75.75 / $418.98	Professional		$56.82	$75.75	$418.98
United Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $148.91 / $269.45	Facility		$19.52	$148.91	$269.45
United Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $199.10 / $341.81	Professional		$153.94	$199.10	$341.81