Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $87.02 / $137.55	Professional		$49.31	$87.02	$137.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.49	Professional		$11.34	$11.34	$11.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $173.94	Facility		$93.52	$93.52	$173.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $96.33 / $172.50	Professional		$79.48	$96.33	$172.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $15.12 / $22.68	Professional		$12.85	$15.12	$22.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Professional		$110.15	$110.15	$110.15
United Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $75.44 / $157.16	Professional		$56.30	$75.44	$157.16