Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $389.05	Professional		$234.42	$288.40	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.90	Professional		$38.02	$38.02	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $436.52	Facility		$173.78	$173.78	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $173.78 / $588.84	Professional		$38.02	$173.78	$588.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $199.53 / $199.53	Professional		$64.57	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $346.74	Professional		$34.67	$34.67	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $141.25 / $288.40	Facility		$17.78	$141.25	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $354.81	Professional		$177.83	$229.09	$354.81