Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.17 / $291.48 / $402.21	Professional		$165.17	$291.48	$402.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $38.28 / $38.79	Professional		$38.28	$38.28	$38.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $422.20	Facility		$172.77	$172.77	$422.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $172.77 / $592.50	Professional		$37.86	$172.77	$592.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $100.00 / $200.00	Professional		$63.91	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $57.42 / $350.67	Professional		$35.07	$57.42	$350.67
United Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $223.18 / $395.35	Professional		$179.01	$223.18	$395.35